Southern Oregon Aba, LLC

NPI #1194205591 in Central Point, Oregon

Provider Information

NPI Number: 1194205591
Entity Type: Organization
Organization Name: Southern Oregon Aba, LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 15, 2018
Last Updated: Aug 15, 2018

Practice Location

Address: 2030 TAYLOR RD
City: Central Point
State: Oregon
ZIP Code: 97502-1762
Phone: (541) 727-1592

Authorized Official

Name: NIKOLE APRIL MCEWEN, BCBA
Title: OWNER
Phone: (541) 727-1592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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