Individual
BONNIE EILEEN CARLSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE STE 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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