Individual
AMELIA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 JEFFERSON PKWY STE 202, LAKE OSWEGO, OR 97035-1252
(888) 428-3223
(323) 866-1881
Mailing address
2331 SW LURADEL ST, PORTLAND, OR 97219-6314
(971) 409-8068
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10221914
OR
106S00000X
Behavior Technician
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Other
Enumeration date
03/03/2022
Last updated
05/30/2023
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