Individual
YULISSA SANTANA QUINTERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9912 SW SCOTT CT, TIGARD, OR 97223-5327
(503) 505-8099
Mailing address
9912 SW SCOTT CT, TIGARD, OR 97223-5327
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
ABA-IN-10212299
OR
Other
Enumeration date
02/12/2021
Last updated
03/28/2023
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