Individual
BRIANNA BEAUDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(360) 977-0112
Mailing address
7405 NE 163RD AVE, VANCOUVER, WA 98682-3564
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2020
Last updated
05/18/2020
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