Individual
DENNIS WAYNE EDGERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
28199 SCOTT MOUNTAIN RD, SWEET HOME, OR 97386-9729
(541) 405-6198
Mailing address
28199 SCOTT MOUNTAIN RD, SWEET HOME, OR 97386-9729
(541) 405-6198
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/30/2013
Last updated
09/05/2013
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