Individual
KATHARINE DECOSSAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
2000 TOWER OAKS BLVD FL 5, ROCKVILLE, MD 20852-4282
(301) 444-5001
Mailing address
1126 CAMAS AVE NW, PALM BAY, FL 32907-9464
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-20-42685
FL
Other
Enumeration date
10/26/2016
Last updated
10/27/2022
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