Organization
SPECTRA GYMNASTICS, LLC
Active
Other names
Spectra Gymnastics
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARISSA JOHNSON (OWNER)
(503) 754-9794
Entity
Organization
Contact information
Practice address
8344 SW NIMBUS AVE, BEAVERTON, OR 97008-6444
(503) 754-9794
Mailing address
8344 SW NIMBUS AVE, BEAVERTON, OR 97008-6444
(503) 754-9794
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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