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Individual

MRS. JORDAN MARISSA DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED., BCBA, LBA

Contact information

Practice address
3400 STATE ST STE 750, SALEM, OR 97301-5861
(971) 273-7502
Mailing address
3400 STATE ST STE 750, SALEM, OR 97301-5861
(971) 273-7502

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
08/21/2015
Last updated
11/23/2021
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