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Individual

KATRINA MICHELE RUIZ BETTENCOURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
412 JEFFERSON PKWY STE 202, LAKE OSWEGO, OR 97035-1252
(888) 428-3223
(323) 866-1881
Mailing address
4221 WILSHIRE BLVD STE 300A, LOS ANGELES, CA 90010-3537
(888) 428-3223
(323) 866-1881

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
B-10201695
OR
106S00000X
Behavior Technician

Other

Enumeration date
08/29/2016
Last updated
05/11/2022
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