Individual
ABIGAIL LYN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
206 S JEFFERSON AVE, COOKEVILLE, TN 38501-4748
(844) 244-1818
Mailing address
1507 HICKORY VALLEY RD APT A6, CHATTANOOGA, TN 37421-5610
(629) 867-0618
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
1017394
TN
Other
Enumeration date
05/09/2023
Last updated
10/29/2024
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