Individual
CODY BILL VAN-AUSDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4308 76TH ST NE, MARYSVILLE, WA 98270-3720
(425) 349-7352
Mailing address
4308 76TH ST NE, MARYSVILLE, WA 98270-3720
(425) 349-7352
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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