Individual
DONTAVIUS JOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1515 SW 11TH AVE APT 402, PORTLAND, OR 97201-3376
(737) 346-5235
Mailing address
1515 SW 11TH AVE APT 402, PORTLAND, OR 97201-3376
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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