Individual
CAMERON KOSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4915 25TH AVE NE STE 202, SEATTLE, WA 98105-5668
(206) 830-0299
Mailing address
4915 25TH AVE NE STE 202, SEATTLE, WA 98105-5668
(206) 830-0299
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB60904475
CBT LICENSE
WA
Enumeration date
09/19/2022
Last updated
09/19/2022
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