Organization
BLUE ABA OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERSHON FINK (MANAGER)
(786) 521-1587
Entity
Organization
Contact information
Practice address
10260 SW GREENBURG RD STE 400, PORTLAND, OR 97223-5514
(786) 521-1587
Mailing address
3921 ALTON RD UNIT 107, MIAMI BEACH, FL 33140-3852
(786) 521-1587
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
08/12/2022
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