Individual
LENORA CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3307 19TH AVE, FOREST GROVE, OR 97116-1909
(971) 348-3217
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-IN-01215903
OR
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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