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1063156107
KATHERINE NICOLE ELLIS
BEAVERTON, OR
NPI
1063156107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Additional Taxonomies
103K00000X Behavior Analyst
Enumeration Date
2022-04-25
Last Update Date
2022-04-25
Business Address
KATHERINE NICOLE ELLIS
8700 SW CREEKSIDE PL
BEAVERTON, OR 97008-7391
Phone number: 503-224-2184
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Mailing Address
KATHERINE NICOLE ELLIS
8700 SW CREEKSIDE PL
BEAVERTON, OR 97008-7391
Phone number: 503-224-2184
Copy
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