Individual
JENNIFER PASQUALINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
(510) 679-3545
Mailing address
1675 SW MARLOW AVE STE 200, PORTLAND, OR 97225-5102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10241380
OR
106E00000X
Assistant Behavior Analyst
ABA-AB-10231714
OR
106S00000X
Behavior Technician
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Other
Enumeration date
01/08/2019
Last updated
03/01/2024
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