Organization
WESTSIDE BEHAVIOR THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY TOWNSEND M.ED., BCBA, LBA (OWNER)
(503) 747-2587
Entity
Organization
Contact information
Practice address
1800 NW 169TH PL STE C100, BEAVERTON, OR 97006-7362
(503) 747-2587
(503) 746-6323
Mailing address
1800 NW 169TH PL STE C100, BEAVERTON, OR 97006-7362
(503) 747-2587
(503) 746-6323
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10168550
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500709065
—
OR
Enumeration date
02/19/2015
Last updated
10/05/2020
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