Individual
DELROY FITZALBERT HENDRICKS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223
(971) 236-0915
Mailing address
9159 S GIBSON RD, MOLALLA, OR 97038-9544
(971) 325-6834
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/31/2019
Last updated
02/21/2019
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