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NPI Profile for ALYDA J DICK in NEWPORT, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Behavior Analyst |
103K00000X |
| NPI # | 1366080434 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 12/19/2019 | |
| Last updated | 07/21/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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ALYDA J DICK
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ALYDA J DICK