Individual
JESSICA REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., BCBA, LBA
Contact information
Practice address
3720 SW BOND AVE UNIT 1816, PORTLAND, OR 97239-4576
(503) 877-3996
Mailing address
3720 SW BOND AVE UNIT 1816, PORTLAND, OR 97239-4576
(503) 877-3996
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134428055
—
OR
Enumeration date
03/17/2011
Last updated
05/26/2016
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