Most Relevant Information
Provider Data
| NPI Number: | 1003423245 |
| Provider Name: | KRISTIN FALL |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/30/2020 |
| Last Updated: | 09/30/2020 |
Provider Practice Location
1800 NW 167TH PL STE 115
BEAVERTON
OR
970064846
Practice Location Phone/Fax
| Phone: | 2482990030 |
| Fax: |
Provider Mailing Location
27777 INKSTER RD STE 100
FARMINGTON HILLS
MI
483345326
Provider Mailing Phone/Fax
| Phone: | 2484364366 |
| Fax: |