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1578307070
UNKNOWN GRACE
TUALATIN, OR
NPI
1578307070
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: OR ABA-IN-10246206)
Enumeration Date
2024-06-20
Last Update Date
2024-08-05
Business Address
UNKNOWN GRACE RBAI
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR 97062-8607
Phone number: 503-673-1248
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Mailing Address
UNKNOWN GRACE RBAI
12920 SW TAPADERA ST
BEAVERTON, OR 97008-7234
Phone number: 503-380-0247
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