BLAKE ZODA

GRESHAM, OR
NPI1649850587
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
(Licence: OR  ABA-IN-10213415)
Enumeration Date2021-04-14
Last Update Date2021-04-14
Business Address
BLAKE ZODA
912 NE KELLY AVE # 100C
GRESHAM, OR 97030-5629
Phone number: 503-912-5502
Mailing Address
BLAKE ZODA
21600 OXNARD ST STE 1800
WOODLAND HILLS, CA 91367-7807
Phone number: 818-345-2345