Organization
MINDFUL BEHAVIOR SUPPORT INC
Active
Other names
Pro Support On-Demand Inc, Mindful Behavior Support Inc
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WELLS PH.D. (PRESIDENT)
(541) 520-6440
Entity
Organization
Contact information
Practice address
492 E 13TH AVE, EUGENE, OR 97401-4268
(541) 520-6440
Mailing address
PO BOX 210, DEXTER, OR 97431-0210
(541) 520-6440
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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