Individual
CAMILLE PETRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18765 SW BOONES FERRY RD, TUALATIN, OR 97062-8496
(503) 612-1000
Mailing address
11865 SW TUALATIN RD APT 172, TUALATIN, OR 97062-7076
(515) 460-1650
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
ABA-IN-10215441
OR
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
07/07/2021
Last updated
04/02/2025
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