Individual
MS. HILARY ANNE MAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS ED, BCBA
Contact information
Practice address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-4158
Mailing address
707 SW GAINES ST, PORTLAND, OR 97239-2901
(503) 494-9514
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10178578
OR
Other
Enumeration date
10/28/2016
Last updated
11/06/2018
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