Individual
KIRBY SIEMENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1800 NW 167TH PL STE 115, BEAVERTON, OR 97006-4846
(855) 772-8847
Mailing address
4842 BRIGHTON AVE, SAN DIEGO, CA 92107-2518
(530) 333-7150
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA61420154
CA
Other
Enumeration date
06/03/2020
Last updated
12/09/2025
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