Individual
MONIQUE ANDREA WEAVER-GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
(503) 388-0230
Mailing address
32663 BUSH GARDEN DR, HARRISBURG, OR 97446-9751
(503) 388-0230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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