Individual
SIONA LAFORM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
11169 SW BERLIN AVE, WILSONVILLE, OR 97070-7249
(503) 878-3245
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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