Individual
AMBER MORENO-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8344 SW NIMBUS AVE, BEAVERTON, OR 97008-6444
(971) 202-1414
Mailing address
4748 SE 111TH AVE, PORTLAND, OR 97266-3433
(971) 401-4661
(971) 401-4661
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
02/18/2020
Last updated
05/12/2022
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