Individual
DESIREE ROSE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1715 SE 32ND PL, PORTLAND, OR 97214-5016
(503) 234-9591
Mailing address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/18/2020
Last updated
07/26/2022
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