Individual
MR. ADAM LEONARD ELIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS, BT
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(503) 234-9591
Mailing address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1124491139
OR
247200000X
Other Technician
Primary
—
OR
Other
Enumeration date
11/12/2015
Last updated
11/25/2015
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