Beverly Cole

NPI #1417413642 in Kodiak, Alaska

Provider Information

NPI Number: 1417413642
Entity Type: Individual
Name: Beverly Cole
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2019
Last Updated: Feb 12, 2019

Practice Location

Address: 916 E REZANOF DR
City: Kodiak
State: Alaska
ZIP Code: 99615-6724
Phone: (907) 942-1294

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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