Individual
ILONA COSCODAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE 160TH AVE # 154, VANCOUVER, WA 98684-8911
(866) 523-4268
Mailing address
PO BOX 399318, SAN FRANCISCO, CA 94139-9318
(866) 523-4268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/03/2023
Last updated
01/03/2023
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