Individual
GRACE ELIZABETH KOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
215 N 11TH ST, WEIRTON, WV 26062-2426
(443) 904-6521
Mailing address
13315 BOTTOM RD, HYDES, MD 21082-9741
(443) 904-6521
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-23-258033
PA
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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