Individual
MRS. ANGELA KATHRYN PICKERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
18765 SW BOONES FERRY RD, TUALATIN, OR 97062-8496
(503) 233-5405
Mailing address
1919 SE 36TH AVE, PORTLAND, OR 97214-5184
(530) 209-2944
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
10201681
OR
103K00000X
Behavior Analyst
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164936
—
OR
Enumeration date
09/05/2016
Last updated
08/11/2021
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