Individual
MARIA ARCELI LODIVERO LAGUNERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
12155 SW TOOZE RD, SHERWOOD, OR 97140-8441
(503) 570-0147
Mailing address
7231 NE HALSEY ST, PORTLAND, OR 97213
(808) 783-8373
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/03/2017
Last updated
08/03/2017
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