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Individual

MR. MICHAEL SYCZ JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A. BCBA, LBA

Contact information

Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7146
Mailing address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7146

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
11210465
CA
103K00000X
Behavior Analyst
Primary
61151781
WA

Other

Enumeration date
11/14/2016
Last updated
09/02/2021
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