Individual
DEVYN PLISIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(209) 261-4431
Mailing address
DEPT LA 22763, PASADENA, CA 91185-2763
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-56624
OR
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12799973
KAISER
CA
Enumeration date
05/16/2018
Last updated
04/13/2023
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