Organization
CLIMB BEHAVIORAL SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY L MARIN-SHOVER MA, BCBA, LBA (OWNER/FOUNDER)
(864) 621-7408
Entity
Organization
Contact information
Practice address
809B SE SHERMAN ST, PORTLAND, OR 97214-4666
(864) 621-7408
(503) 802-5351
Mailing address
2614 SE 28TH AVE, PORTLAND, OR 97202-1311
(864) 621-7408
(503) 802-5351
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790118552
NPI TYPE 1
OR
05
—
500685400
—
OR
Enumeration date
08/21/2020
Last updated
08/21/2020
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