Individual
CODY KAECH I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
(617) 458-1166
Mailing address
8282 28TH CT NE STE A, LACEY, WA 98516-7162
(617) 458-1166
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027980
—
WA
Enumeration date
06/14/2016
Last updated
06/14/2016
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