Kodi Walters
Behavior Technician in Gresham, OR. Individual provider (NPI-1).
NPI number1760103071
StatusActive
Last updated in NPPESSep 6, 2022
Details
- NPI
- 1760103071
- Entity type
- Individual (NPI-1)
- Name
- Kodi Walters
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2022
- Certification date
- Sep 6, 2022
- Last updated
- Sep 6, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1851 Nw Civic DrGresham, OR 97030-5566
Phone 971-292-1050
Mailing address
1851 Nw Civic DrGresham, OR 97030-5566
Phone 971-292-1050
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All 130 Behavior Technician providers in Gresham · All 2,430 providers in Gresham
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