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Contact Information

JESSICA COIMBRA, MS, BCBA, LBA, IBA
330 SE CESAR E CHAVEZ BLVD
PORTLAND, OR97214-2069
 Phone: 206-580-3530
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for JESSICA COIMBRA · (Female)

NPI # 1790254753
Status Active
Credentials MS, BCBA, LBA, IBA
Entity Individual
Enumeration date 11/20/2018
Last updated 07/07/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • License # 1-18-32079
  • MD License # LBA504
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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