Jeannie Edney
Behavior Technician in Beaverton, OR. Individual provider (NPI-1).
NPI number1164091336
StatusActive
Last updated in NPPESJun 22, 2021
Details
- NPI
- 1164091336
- Entity type
- Individual (NPI-1)
- Name
- Jeannie Edney
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2021
- Certification date
- Jun 22, 2021
- Last updated
- Jun 22, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1800 Nw 169th Pl Ste B100Beaverton, OR 97006-7362
Phone 503-747-9728
Mailing address
1800 Nw 169th Pl Ste B100Beaverton, OR 97006-7362
Phone 503-747-9728
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