Organization
SOUTHERN OREGON ABA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOLE APRIL MCEWEN BCBA (OWNER)
(541) 727-1592
Entity
Organization
Contact information
Practice address
2030 TAYLOR RD, CENTRAL POINT, OR 97502-1762
(541) 727-1592
Mailing address
2030 TAYLOR RD, CENTRAL POINT, OR 97502-1762
(541) 727-1592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
A
OR
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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