Individual
HAYLIE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1626 37TH AVENUE PL, GREELEY, CO 80634-3442
(970) 397-7977
Mailing address
1626 37TH AVENUE PL, GREELEY, CO 80634-3442
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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