Kyle Shorack

NPI #1396481545 in Mountlake Terrace, Washington

Provider Information

NPI Number: 1396481545
Entity Type: Individual
Name: Kyle Shorack
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 10, 2022
Last Updated: May 10, 2022

Practice Location

Address: 24120 VAN RY BLVD STE 400
City: Mountlake Terrace
State: Washington
ZIP Code: 98043-5459
Phone: (425) 245-9940

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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