SearchOregon103K00000X

Kelly Dacosta, BCBA

NPI 1437518685 · on the registry since 2016 · sole proprietor

Practice

Address
9540 Nw Skyview Dr
Portland, OR 97231
Phone
(315) 657-3944

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-02-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon