Individual
STEPHANIE DAYANA CADEVILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 STATE ST STE G750, SALEM, OR 97301-7012
(971) 273-7502
Mailing address
1601 SAVAGE RD NE # 97301, SALEM, OR 97301-1760
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/27/2019
Last updated
04/27/2019
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