Individual
AMANDA JACLYN BRACHFELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
121 SW SALMON ST, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
(415) 279-3312
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-63456
OR
Other
Enumeration date
05/31/2018
Last updated
02/08/2023
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