Individual
MAGGIE LYNNE BEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2826 FISHER RD NE APT 43, SALEM, OR 97305-1318
(503) 508-8943
Mailing address
2826 FISHER RD NE APT 43, SALEM, OR 97305-1318
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/01/2019
Last updated
09/01/2019
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