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Amber Kocak

Behavior Technician in Irwin, PA. Individual provider (NPI-1).

NPI number1164091658
StatusActive
Last updated in NPPESJun 21, 2021

Details

NPI
1164091658
Entity type
Individual (NPI-1)
Name
Amber Kocak
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 21, 2021
Certification date
Jun 21, 2021
Last updated
Jun 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1015 Pennsylvania Ave
Irwin, PA 15642-3737

Phone 866-287-2036

Mailing address

1015 Pennsylvania Ave
Irwin, PA 15642-3737

Phone 866-287-2036

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