Blake Zoda
Blake Zoda is a Behavior Technician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2021.
- Licensed in
- OR
- In the registry since
- 2021
Practice location Address checks out
912 NE Kelly Ave # 100CGresham, OR 97030-5629
Phone: (503) 912-5502
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence ABA-IN-10213415 (OR) |
|---|
Record details
| NPI number | 1649850587 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 14, 2021 |
| Last updated in NPPES | April 14, 2021 |
| Certification date | April 14, 2021 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367-7807 |
Other providers in Gresham
-
Paul Willis
912 NE Kelly Ave, Gresham, OR 97030-5629 · (503) 912-5501
-
Ashley Wright
1851 NW Civic Dr, Gresham, OR 97030-5566 · (719) 299-7108
-
Tagg Xiong
912 NE Kelly Ave Ste 100, Gresham, OR 97030-5631 · (503) 912-5502
-
Elizabeth M Zagreychuk
912 NE Kelly Ave, Gresham, OR 97030-5629 · (503) 912-5502