Individual
MAIA ELISABETH COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5457 SW CANYON CT, PORTLAND, OR 97221-2401
(971) 762-4663
Mailing address
300 INTERNATIONAL PKWY STE 200, LAKE MARY, FL 32746-5028
(866) 610-0580
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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