Individual
KELLIE BALFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13108 NE SCHUYLER ST, PORTLAND, OR 97230-2244
(971) 336-9870
Mailing address
8665 SW CASHMUR LN, PORTLAND, OR 97225-3022
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-37575
OR
Other
Enumeration date
09/26/2019
Last updated
11/28/2023
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