Individual
AMANDA R CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BAI
Contact information
Practice address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
Mailing address
18765 SW BOONES FERRY RD STE 100, TUALATIN, OR 97062-8607
(503) 612-1000
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
10251388
OR
106S00000X
Behavior Technician
CB61599222
WA
Other
Enumeration date
10/25/2024
Last updated
01/09/2025
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