Individual
WILLIAM DENZEL WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
4220 SE SALMON ST APT D, PORTLAND, OR 97215-2468
(503) 406-7641
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
RBT-19-91156
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-23-67652
BACB CERTIFICATION NUMBER
—
01
—
ABA-B-10235589
OREGON HEALTH LICENSING OFFICE
OR
01
—
RBT-19-91156
BACB- REGISTERED BEHAVIOR TECHNICIAN
—
Enumeration date
03/13/2019
Last updated
09/14/2023
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