Southern Oregon Aba

NPI #1790295350 in Central Point, Oregon

Provider Information

NPI Number: 1790295350
Entity Type: Organization
Organization Name: Southern Oregon Aba
Primary Specialty: Behavior Analyst
Enumeration Date: Oct 9, 2017
Last Updated: Oct 9, 2017

Practice Location

Address: 2030 TAYLOR RD
City: Central Point
State: Oregon
ZIP Code: 97502-1762
Phone: (541) 727-1592

Authorized Official

Name: MRS. NIKOLE APRIL MCEWEN, MS, BCBA, LBA
Title: CLINICAL DIRECTOR/OWNER
Phone: (541) 727-1592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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