Organization
TUMALO BEHAVIORAL INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY FORSYTH M.ED, BCBA (CLINICAL DIRECTOR)
(541) 719-8342
Entity
Organization
Contact information
Practice address
536 SW 12TH ST, REDMOND, OR 97756-2601
(541) 719-8342
Mailing address
3665 SW COYOTE LN, REDMOND, OR 97756-7281
(541) 719-8342
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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