Organization
PLAY CONNECTIONS AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE SHAW (OWNER)
(503) 350-7050
Entity
Organization
Contact information
Practice address
1800 NW 169TH PL, B100, BEAVERTON, OR 97006-4848
(503) 350-7050
Mailing address
1800 NW 169TH PL, B100, BEAVERTON, OR 97006-4848
(503) 350-7050
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10166920
OR
Other
Enumeration date
09/15/2016
Last updated
09/15/2016
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