Most Relevant Information
Provider Data
| NPI Number: | 1003465501 |
| Provider Name: | DESIRAE BIGGS |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2019 |
| Last Updated: | 09/06/2019 |
Provider Practice Location
9115 SW OLESON RD STE 100
PORTLAND
OR
972236876
Practice Location Phone/Fax
| Phone: | 5102688120 |
| Fax: |
Provider Mailing Location
9609 NE 15TH AVE
VANCOUVER
WA
986659010
Provider Mailing Phone/Fax
| Phone: | 9712043991 |
| Fax: |