Individual
MR. ALEX TAYLOR FOERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6200 SW ARCTIC DRIVE BEAVERTON, OR 97005, BEAVERTON, OR 97005
(503) 224-2184
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
F655-0189-3417-09
WI
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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