Individual
JESSICA COIMBRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BCBA, LBA, IBA
Contact information
Practice address
330 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-2069
(206) 580-3530
Mailing address
1728 EASTERN AVE APT 8, BALTIMORE, MD 21231-2452
(443) 616-4170
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32079
—
103K00000X
Behavior Analyst
LBA504
MD
Other
Enumeration date
11/20/2018
Last updated
07/07/2025
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