Jayda Michelle Anderson
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1124895073
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1124895073
- Entity type
- Individual (NPI-1)
- Name
- Jayda Michelle Anderson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 10, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | ABA-IN-10238223 | OR | Yes |
Practice location
1827 Ne 44th Ave Ste 390Portland, OR 97213-1461
Phone 503-963-6494 · Fax 310-933-4134
Mailing address
5435 Balboa Blvd Ste 202Encino, CA 91316-1570
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