Summer Barraza
Behavior Technician in Gresham, OR. Individual provider (NPI-1).
NPI number1750994604
StatusActive
Last updated in NPPESAug 28, 2020
Details
- NPI
- 1750994604
- Entity type
- Individual (NPI-1)
- Name
- Summer Barraza
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 28, 2020
- Certification date
- Aug 28, 2020
- Last updated
- Aug 28, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1851 Nw Civic DrGresham, OR 97030-5566
Phone 971-292-1050
Mailing address
1851 Nw Civic DrGresham, OR 97030-5566
Phone 971-292-1050
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