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1124491139
ADAM LEONARD ELIAS
CORVALLIS, OR
NPI
1124491139
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Additional Taxonomies
103K00000X Behavior Analyst
(Licence: OR 1124491139)
Enumeration Date
2015-11-12
Last Update Date
2015-11-25
Business Address
Mr. ADAM LEONARD ELIAS BS, BT
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 503-234-9591
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Mailing Address
Mr. ADAM LEONARD ELIAS BS, BT
3415 SE POWELL BLVD.
PORTLAND, OR 97202
Phone number: 503-234-9591
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