KELLY DACOSTA

PORTLAND, OR
NPI1437518685
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103K00000X Behavior Analyst
(Licence: OR  10173061)
Enumeration Date2016-02-16
Last Update Date2016-02-16
Business Address
-- KELLY DACOSTA BCBA
9540 NW SKYVIEW DR
PORTLAND, OR 97231-2648
Phone number: 315-657-3944
Mailing Address
-- KELLY DACOSTA BCBA
9540 NW SKYVIEW DR
PORTLAND, OR 97231-2648
Phone number: 315-657-3944
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