Individual
ASIA VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E 3RD ST, SUITE 101, THE DALLES, OR 97058-2562
(541) 298-2101
(541) 298-7996
Mailing address
401 E 3RD ST, SUITE 101, THE DALLES, OR 97058-2562
(541) 298-2101
(541) 298-7996
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10177757
OR
Other
Enumeration date
08/12/2016
Last updated
01/24/2017
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