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1437518685
KELLY DACOSTA
PORTLAND, OR
NPI
1437518685
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR 10173061)
Enumeration Date
2016-02-16
Last Update Date
2016-02-16
Business Address
KELLY DACOSTA BCBA
9540 NW SKYVIEW DR
PORTLAND, OR 97231-2648
Phone number: 315-657-3944
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Mailing Address
KELLY DACOSTA BCBA
9540 NW SKYVIEW DR
PORTLAND, OR 97231-2648
Phone number: 315-657-3944
Copy
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