Individual
TRINIDAD SECAIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TFP
Contact information
Practice address
1501 NE JOHNSON ST, MCMINNVILLE, OR 97128-3647
(971) 241-0104
Mailing address
1501 NE JOHNSON ST, MCMINNVILLE, OR 97128-3647
(971) 241-0104
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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