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1336752286
SCOTT CLARK
PORTLAND, OR
NPI
1336752286
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR 1-24-71112)
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2020-08-28
Last Update Date
2024-02-27
Business Address
SCOTT CLARK
5457 SW CANYON CT
PORTLAND, OR 97221-2401
Phone number: 971-762-4663
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Mailing Address
SCOTT CLARK
5457 SW CANYON CT
PORTLAND, OR 97221-2401
Phone number: 971-762-4663
Copy
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