CODY ALAN BLACK

KIRKLAND, WA
NPI1740045533
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2024-02-20
Last Update Date2024-02-20
Business Address
CODY ALAN BLACK
1003 7TH AVE
KIRKLAND, WA 98033-5779
Phone number: 142-565-8301
Mailing Address
CODY ALAN BLACK
702 W CASINO RD APT Y205
EVERETT, WA 98204-8101
Phone number: 253-258-6908