NPI 1508407305

Kelly Lynn Boylan

Practitioner Assistant Behavior Analyst Beaverton, OR

Practice location

Address: 1800 NW 169th Pl STE B100, Beaverton, OR 97006-7362
Phone: (503) 350-7050

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X

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Registry record

NPI: 1508407305
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Oct 2019
Record last updated: 23 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.