Individual
LEE MICHAEL KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
603 CONKLING AVE, GARDEN CITY, KS 67846-5028
(785) 448-8118
Mailing address
603 CONKLING AVE, GARDEN CITY, KS 67846-5028
(785) 448-8118
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
00982
KS
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
04/12/2026
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