Rosa Cervantes
Behavior Technician in Salem, OR. Individual provider (NPI-1).
NPI number1083171888
StatusActive
Last updated in NPPESFeb 28, 2019
Details
- NPI
- 1083171888
- Entity type
- Individual (NPI-1)
- Name
- Rosa Cervantes
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 28, 2019
- Last updated
- Feb 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | A743543 | OR | Yes |
Practice location
1185 Norway St NeSalem, OR 97301-7837
Phone 503-586-4017
Mailing address
3494 Liberty Rd SSalem, OR 97302-4607
Phone 197-130-4088
Other practice locations
3494 Liberty Rd S
Salem, OR 97302
Salem, OR 97302
Phone 971-304-0660
3494 Liberty Rd S
Salem, OR 97302
Salem, OR 97302
Phone 971-304-0660
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