Individual
BANIA ABIGAIL CHAVEZ MACIEL, BAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BAI
Contact information
Practice address
18765 SW BOONES FERRY RD, TUALATIN, OR 97062-8496
(503) 612-1000
Mailing address
13620 SW BEEF BEND RD UNIT 40, KING CITY, OR 97224-1689
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
IN-10215078
OR
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
07/25/2023
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