Lacey Kohl

NPI #1548746332 in Patterson, California

Provider Information

NPI Number: 1548746332
Entity Type: Individual
Name: Lacey Kohl
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 14, 2018
Last Updated: Jul 14, 2018

Practice Location

Address: 147 IVY AVE
City: Patterson
State: California
ZIP Code: 95363-9419
Phone: (209) 402-0427

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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