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Individual

JADE REY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, BCBA, LBA

Contact information

Practice address
12155 SW TOOZE RD, SHERWOOD, OR 97140-8441
(503) 570-0147
Mailing address
14442 ORCHARD SPRINGS RD, LAKE OSWEGO, OR 97035-6574

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-34884
OR

Other

Enumeration date
02/15/2023
Last updated
02/15/2023
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