Individual
AMELIA VICTORIA PREXTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3396
(503) 234-9591
Mailing address
425 SE 19TH AVE APT B, PORTLAND, OR 97214-1568
(440) 221-2999
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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