Individual
KAHRISSA PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBI
Contact information
Practice address
401 E 3RD ST STE 101, THE DALLES, OR 97058-2563
(541) 298-2101
Mailing address
147 W BRYAN ST, UNION, OR 97883-9304
(541) 786-0002
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABAIN10181967
OR
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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