Individual
FELICIANA BABASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
6134 N WILLAMETTE BLVD, PORTLAND, OR 97203-5649
(760) 449-7523
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
IN-10224457
OR
106S00000X
Behavior Technician
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—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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