Individual
ALICE KEYL AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., BCBA-D, LBA
Contact information
Practice address
11481 SW HALL BLVD STE 104, PORTLAND, OR 97223-8403
(971) 258-5555
(888) 972-1390
Mailing address
11481 SW HALL BLVD STE 104, PORTLAND, OR 97223-8403
(971) 258-5555
(888) 972-1390
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-07-3840
—
103K00000X
Behavior Analyst
ABA-B-10167139
OR
Other
Enumeration date
05/18/2011
Last updated
07/21/2022
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