Individual
ADELAIDE BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, BCBA, LBA-OR/TX
Contact information
Practice address
912 NE KELLY AVE, GRESHAM, OR 97030-5629
(855) 772-8847
Mailing address
1635 SE SPOKANE ST, PORTLAND, OR 97202-6708
(971) 373-4028
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-17-43008
NC
Other
Enumeration date
10/30/2017
Last updated
11/04/2024
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