Averly Koston

NPI #1184357824 in Brookpark, Ohio

Provider Information

NPI Number: 1184357824
Entity Type: Individual
Name: Averly Koston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 8, 2022
Last Updated: Jul 8, 2022

Practice Location

Address: 5555 SMITH RD
City: Brookpark
State: Ohio
ZIP Code: 44142-2028
Phone: (216) 453-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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