Individual
BRYANA MADISON CODDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST, #505, TACOMA, WA 98409
(253) 671-9909
Mailing address
2580 MANN AVE, APT C, JOINT BASE LEWIS MCCHORD, WA 98433
(518) 593-5728
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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