Individual
KELLY J VIERNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 NE 102ND AVE, PORTLAND, OR 97220-4166
(503) 254-6317
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
(818) 345-2345
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
OR
Other
Enumeration date
01/23/2018
Last updated
01/23/2018
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