Individual
MISS LINDSAY RAE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2800 SW PEACEFUL LN, PORTLAND, OR 97239-1161
(503) 489-7540
Mailing address
2800 SW PEACEFUL LN, PORTLAND, OR 97239-1161
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BCBA: 1-12-11823
CA
Other
Enumeration date
06/27/2012
Last updated
10/02/2020
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