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Individual

VICKEY FOSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LBA

Contact information

Practice address
2421 NE DOCTORS DR, BEND, OR 97701-7111
(541) 224-6987
Mailing address
4105 SW TOMMY ARMOUR LN, REDMOND, OR 97756-0319
(503) 568-5949

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10216053
OR
106E00000X
Assistant Behavior Analyst
ABA-AB-10213790
OR
106S00000X
Behavior Technician

Other

Enumeration date
09/16/2019
Last updated
09/07/2022
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