Individual
CASEY LEE MARIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
129 NE 102ND AVE, SUITE E, PORTLAND, OR 97220-4102
(503) 254-6317
(360) 836-8131
Mailing address
21600 OXNARD ST, SUITE 1800, WOODLAND HILLS, CA 91367-4976
(818) 345-2345
(818) 449-0994
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14088
NC
Other
Enumeration date
08/15/2013
Last updated
05/10/2016
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