Organization
NORTHWEST ABA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDSEY PIESCHEL MS (BOARD CERTIFIED BEHAVIOR ANALYST)
(503) 409-3659
Entity
Organization
Contact information
Practice address
4133 VICKIE CT, HUBBARD, OR 97032-9544
(503) 409-3659
Mailing address
4133 VICKIE CT, HUBBARD, OR 97032-9544
(503) 409-3659
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003275579
—
OR
Enumeration date
10/26/2021
Last updated
10/26/2021
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