Individual
MADISON FIORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
ABA
Contact information
Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062
(503) 612-1000
Mailing address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062
(503) 612-1000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10232926
OR
Other
Enumeration date
05/19/2023
Last updated
06/24/2024
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