Individual
SYDNEY C COOLBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4600 KIETZKE LN STE M246, RENO, NV 89502-5000
(702) 319-1555
Mailing address
4600 KIETZKE LN STE M246, RENO, NV 89502-5000
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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