Blake Zoda

NPI # 

Practice Address:

912 Ne Kelly Ave # 100C

Gresham, OR, 97030-5629

Practice Phone:

503-912-5502

License Number:

ABA-IN-10213415

License State:

OR

Taxonomy Grouping:

Behavioral Health & Social Service Providers

Taxonomy Classification:

Behavior Technician

Taxonomy Code:

106S00000X

Updated by NPPES on 4/14/2021. You can view the original data set for NPI # 1649850587 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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Blake Zoda 's

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Blake Zoda 's

CMS prescription data

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