Individual
AMANDA YAKSCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBAI
Contact information
Practice address
3669 NE JOHN OLSEN AVE, HILLSBORO, OR 97124-5815
(503) 927-1179
Mailing address
1066 SE 57TH AVE, PORTLAND, OR 97215-2720
(614) 507-8156
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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