Alexander Criscuolo

NPI #1003515636 in Tualatin, Oregon

Provider Information

NPI Number: 1003515636
Entity Type: Individual
Name: Alexander Criscuolo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Mar 2, 2023
Last Updated: Mar 2, 2023

Practice Location

Address: 18765 SW BOONES FERRY RD STE 100
City: Tualatin
State: Oregon
ZIP Code: 97062-8607
Phone: (503) 612-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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