Individual
SHELBY WICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
121 SW SALMON ST, PORTLAND, OR 97204-2908
(855) 832-6727
Mailing address
ONE WORLD TRADE CENTER 121 SOUTHWEST SALMON STREET, 11TH FLOOR, PORTLAND, OR 97204-0000
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
ABA-B-10234751
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/19/2019
Last updated
08/29/2023
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