Organization
SUNRISE ABA OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADY KEITH (DIRECTOR OF OPERATIONS)
(707) 799-9527
Entity
Organization
Contact information
Practice address
8152 SW HALL BLVD # 1090, BEAVERTON, OR 97008-6415
(628) 250-7500
Mailing address
505 SAN MARIN DR STE 100B, NOVATO, CA 94945-1309
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/22/2022
Last updated
08/16/2022
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