ELIZABETH LAKE

PORTLAND, OR
NPI1033702287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: OR  ABA-B-10228550)
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-02-18
Last Update Date2022-12-21
Business Address
ELIZABETH LAKE
1827 NE 44TH AVE STE 390
PORTLAND, OR 97213-1461
Phone number: 503-963-6494
Mailing Address
ELIZABETH LAKE
1827 NE 44TH AVE STE 390
PORTLAND, OR 97213-1461
Phone number: 503-963-6494