Individual
AUTUMN AARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
340 B AVE, LAKE OSWEGO, OR 97034-3012
(503) 303-7212
Mailing address
340 B AVE, LAKE OSWEGO, OR 97034-3012
(503) 303-7212
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
IN-10196208
OR
106S00000X
Behavior Technician
Primary
IN-10196208
OR
Other
Enumeration date
03/05/2019
Last updated
03/06/2019
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