Individual
EMILIE JANE ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1800 NW 169TH PL STE B100, BEAVERTON, OR 97006-7362
(503) 737-4693
Mailing address
1800 NW 169TH PL STE B100, BEAVERTON, OR 97006-7362
(503) 737-4693
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10167351
OR
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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