Melanie Kong-Shaw, M.A., B.C.B.A

NPI #1295007086 in Beaverton, Oregon

Provider Information

NPI Number: 1295007086
Entity Type: Individual
Name: Melanie Kong-Shaw, M.A., B.C.B.A
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: M.A., B.C.B.A
Enumeration Date: Feb 8, 2012
Last Updated: Feb 8, 2012

Practice Location

Address: 15100 SW KOLL PKWY
Address 2: SUITE A
City: Beaverton
State: Oregon
ZIP Code: 97006-6026
Phone: (503) 737-4693

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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