Macyn McCuan
Behavior Technician in Portland, OR. Individual provider (NPI-1).
NPI number1164052387
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1164052387
- Entity type
- Individual (NPI-1)
- Name
- Macyn McCuan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | OR | Yes |
Practice location
2717 Ne Broadway StPortland, OR 97232-1722
Phone 971-256-3400
Mailing address
2717 Ne Broadway StPortland, OR 97232-1722
Phone 971-256-3400
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