Individual
LEANN THERESA DECKER-SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA, LBA
Contact information
Practice address
10230 N BARR AVE, PORTLAND, OR 97203-1125
(386) 209-1001
Mailing address
10230 N BARR AVE, PORTLAND, OR 97203-1125
(386) 209-1001
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2014
Last updated
10/14/2019
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