Individual
ANA GEORGINA ACOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
912 NE KELLY AVE # 100C, GRESHAM, OR 97030-5629
(503) 912-5502
Mailing address
14213 SE CENTER ST, PORTLAND, OR 97236-2741
(971) 712-8711
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/20/2020
Last updated
02/20/2020
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