Organization
ESSENTIAL BEHAVIARAL ANALYSIS LLC
Active
Other names
EBA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIDA DJORGEE (COO)
(503) 267-1844
Entity
Organization
Contact information
Practice address
7133 N LOMBARD ST, PORTLAND, OR 97203-3205
(503) 267-1844
Mailing address
7133 N LOMBARD ST, PORTLAND, OR 97203-3205
(503) 267-1844
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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