Bonnie Eileen Carlsen

NPI #1801352877 in Gresham, Oregon

Provider Information

NPI Number: 1801352877
Entity Type: Individual
Name: Bonnie Eileen Carlsen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Analyst
Enumeration Date: Feb 14, 2019
Last Updated: Feb 14, 2019

Practice Location

Address: 912 NE KELLY AVE STE 100C
City: Gresham
State: Oregon
ZIP Code: 97030-5629
Phone: (503) 912-5502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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