Individual
ELIZA MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9901 NE 7TH AVE STE C116, VANCOUVER, WA 98685-4528
(360) 571-2432
Mailing address
21600 OXNARD ST STE 1800, WOODLAND HILLS, CA 91367-7807
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1710790
OR
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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