Jonathan Alexis Contreras Requeno

NPI #1366110801 in Hillsboro, Oregon

Provider Information

NPI Number: 1366110801
Entity Type: Individual
Name: Jonathan Alexis Contreras Requeno
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 31, 2021
Last Updated: Aug 31, 2021

Practice Location

Address: 5801 NE CORNELIUS PASS RD
City: Hillsboro
State: Oregon
ZIP Code: 97124-9370
Phone: (971) 762-1144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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