Individual
CODY RANDALL HAYCOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 FERREL ST, PLATTE CITY, MO 64079-9511
(816) 469-5162
Mailing address
320 W 6TH ST, CHAPMAN, KS 67431-9360
(785) 307-4572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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