Individual
ALYSSA KODAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
7003 25TH AVE NW, SEATTLE, WA 98117-5849
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60701635
WA
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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