Nickolas Stark, BCABA

NPI #1700353661 in Beaverton, Oregon

Provider Information

NPI Number: 1700353661
Entity Type: Individual
Name: Nickolas Stark, BCABA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Credential: BCABA
Enumeration Date: Oct 30, 2018
Last Updated: Oct 30, 2018

Practice Location

Address: 6200 SW ARCTIC DR
City: Beaverton
State: Oregon
ZIP Code: 97005-9447
Phone: (503) 224-2184

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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