Individual
FREDA ZODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E 3RD ST STE 101, THE DALLES, OR 97058-2563
(541) 298-2101
(541) 298-7996
Mailing address
401 E 3RD ST STE 101, THE DALLES, OR 97058-2563
(541) 298-2101
(541) 298-7996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-16-24870
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-16-24870
I WORK FOR GOBHI A CCO IN OREGON. AN ID # NOT AVAILABLE. BELOW IS MY BCBA LIC #
OR
Enumeration date
12/19/2016
Last updated
12/19/2016
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