Individual
SPENCER GRADY BYRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4217 NE LAUREL DR, ADAIR VILLAGE, OR 97330-9479
(541) 207-7235
Mailing address
4217 NE LAUREL DR, ADAIR VILLAGE, OR 97330-9479
(541) 207-7235
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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