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Ashley Alice Larsen

Behavior Technician in Portland, OR. Individual provider (NPI-1).

NPI number1629619986
StatusActive
Last updated in NPPESOct 7, 2019

Details

NPI
1629619986
Entity type
Individual (NPI-1)
Name
Ashley Alice Larsen
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2019
Last updated
Oct 7, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1675 Sw Marlow Ave Ste 200
Portland, OR 97225-5102

Phone 510-679-3545

Mailing address

4153 Se 37th Ave Apt 3
Portland, OR 97202-3271

Phone 503-744-9438

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