| NPI | 1275169799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON GRAY Director 503-447-8770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2020-03-16 |