Manefa Gostevskyh

NPI #1457137259 in Woodburn, Oregon

Provider Information

NPI Number: 1457137259
Entity Type: Individual
Name: Manefa Gostevskyh
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Sep 6, 2023
Last Updated: Sep 6, 2023

Practice Location

Address: 675 N 3RD ST
City: Woodburn
State: Oregon
ZIP Code: 97071-4017
Phone: (503) 989-5993

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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