Individual
KRYSTLE ALLIGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 509-5469
Mailing address
11109 SE 52ND AVE, MILWAUKIE, OR 97222-4581
(503) 421-8299
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
2016003802
MO
103K00000X
Behavior Analyst
Primary
ABA-B-10176354
OR
Other
Enumeration date
05/18/2016
Last updated
03/07/2022
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