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1740045533
CODY ALAN BLACK
KIRKLAND, WA
NPI
1740045533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-02-20
Last Update Date
2024-02-20
Business Address
CODY ALAN BLACK
1003 7TH AVE
KIRKLAND, WA 98033-5779
Phone number: 142-565-8301
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Mailing Address
CODY ALAN BLACK
702 W CASINO RD APT Y205
EVERETT, WA 98204-8101
Phone number: 253-258-6908
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