JIMMY LARSEN

Behavior Technician

Active Individual
NPI: 1114745023

Practice Address

1800 NW 169TH PL STE C100
Beaverton, OR 97006

Phone: (503) 747-2587

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1114745023 is the National Provider Identifier for JIMMY LARSEN, a Behavior Technician provider located in Beaverton, OR. This NPI was enumerated on September 30, 2024.
JIMMY LARSEN practices at 1800 NW 169TH PL STE C100, Beaverton, OR 97006.

Quick Facts

NPI
1114745023
Type
Individual
Enumerated
Sep 30, 2024
Last Updated
Sep 30, 2024

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