Individual
LACEY FIERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD STE 100, PORTLAND, OR 97223-6876
(510) 268-8120
Mailing address
1300 NE 68TH AVE APT 9, PORTLAND, OR 97213-4900
(818) 531-5268
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/21/2019
Last updated
10/21/2019
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