Individual
CODY L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 EDWARDS VILLAGE BLVD UNIT D208, EDWARDS, CO 81632-5277
(970) 446-6481
Mailing address
111 JUNE AVE APT C, RIFLE, CO 81650-2674
(970) 422-0572
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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