Individual
DANIEL SHEVYAKOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8152 SW HALL BLVD STE 1090, BEAVERTON, OR 97008, BEAVERTON, OR 97008
(628) 250-7500
Mailing address
8152 SW HALL BLVD STE 1090, BEAVERTON, OR 97008, BEAVERTON, OR 97008
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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