Individual
MONTANA SKY ELAINE BALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 SW BARBUR BLVD BLDG 2, PORTLAND, OR 97219-2823
(818) 241-6780
Mailing address
1055 E COLORADO BLVD STE 560, PASADENA, CA 91106-2380
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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