Courtney Raquel Calavan

NPI #1871137810 in Gresham, Oregon

Provider Information

NPI Number
1871137810
Entity Type
Individual
Name
Courtney Raquel Calavan
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Nov 2, 2019
Last Updated
Nov 2, 2019

Practice Location

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

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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