Individual
TAKANORI KOYAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BCBA-D
Contact information
Practice address
19031 33RD AVE W STE 101, LYNNWOOD, WA 98036-4722
(206) 313-8840
Mailing address
PO BOX 88083, TUKWILA, WA 98138-2083
(206) 313-8840
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60762425
WA
Other
Enumeration date
02/04/2010
Last updated
04/25/2023
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