Individual
DAVID JAMES WALBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1800 NW 169TH PL, BEAVERTON, OR 97006-4848
(503) 747-2587
(503) 746-6323
Mailing address
21741 SW CEDAR BROOK WAY, SHERWOOD, OR 97140-5310
(907) 223-6745
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10177478
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ABA-IN-10177478
STATE OF OREGON- BARB
OR
01
—
RBT-15-03203
BEHAVIOR ANALYST CERTIFICATION BOARD
—
Enumeration date
12/29/2017
Last updated
12/29/2017
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