Individual
KACEY ALEXIS COCKERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
106S00000X
Contact information
Practice address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Mailing address
120 S 3RD ST, YAKIMA, WA 98901-2875
(509) 248-1800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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