Mariko Kanata

NPI #1083257091 in Tigard, Oregon

Provider Information

NPI Number: 1083257091
Entity Type: Individual
Name: Mariko Kanata
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Oct 22, 2019
Last Updated: Aug 12, 2020

Practice Location

Address: 15532 SW PACIFIC HWY
Address 2: SUITE C1B - 605
City: Tigard
State: Oregon
ZIP Code: 97224
Phone: (530) 924-4262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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