Individual
SARA MUTAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
809 SE SHERMAN ST STE B, PORTLAND, OR 97214-4666
(864) 621-7408
Mailing address
5687 NE GLISAN ST UNIT 15, PORTLAND, OR 97213-3474
(503) 521-6771
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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