Organization
PLAY CONNECTIONS AUTISM SERVICES, LLC
Active
Organization
PLAY CONNECTIONS AUTISM SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SHAW M.A., B.C.B.A. (OWNER/DIRECTOR)
(503) 737-4693
Entity
Organization
Contact information
Practice address
15100 SW KOLL PKWY, SUITE A, BEAVERTON, OR 97006-6026
(503) 737-4693
Mailing address
15100 SW KOLL PKWY, SUITE A, BEAVERTON, OR 97006-6026
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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