Vincent Charles Leblue III
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1154023091
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1154023091
- Entity type
- Individual (NPI-1)
- Name
- Vincent Charles Leblue III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1827 Ne 44th Ave Ste 390Portland, OR 97213-1461
Phone 503-963-6494 · Fax 310-933-4134
Mailing address
1827 Ne 44th Ave Ste 390Portland, OR 97213-1461
Phone 503-963-6494 · Fax 310-933-4134
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