Individual
ELLERY HAMMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BEHAVIOR ANALYST
Contact information
Practice address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
121 SW SALMON ST FL 11, PORTLAND, OR 97204-2908
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10208594
OR
106S00000X
Behavior Technician
RBT-17-29662
—
Other
Enumeration date
03/11/2020
Last updated
10/11/2021
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