MISS Madelaine Oliva Sandoval, BT

NPI #1588481832 in Gresham, Oregon

Provider Information

NPI Number: 1588481832
Entity Type: Individual
Name: MISS Madelaine Oliva Sandoval, BT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Credential: BT
Enumeration Date: Sep 26, 2024
Last Updated: Oct 29, 2024

Practice Location

Address: 1851 NW CIVIC DR
City: Gresham
State: Oregon
ZIP Code: 97030-5566
Phone: (971) 292-1050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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