Individual
LESLEY CHRISTOFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
555 E 15TH AVE, EUGENE, OR 97401-4314
(541) 345-0805
Mailing address
555 E 15TH AVE, EUGENE, OR 97401-4314
(541) 345-0805
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10179608
OR
Other
Enumeration date
04/26/2017
Last updated
04/26/2017
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