Koyama, Takanori
Koyama, Takanori is an individual health care provider with primary practice located at 19031 33Rd Ave W Ste 101 , Lynnwood WA 98036-4722. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Koyama, Takanori can be contacted via phone (206) 313-8840.Contact Information
Primary practice address
19031 33Rd Ave W Ste 101
Lynnwood WA 98036-4722
Phone: (206) 313-8840
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | BA60762425 | Washington |
Profile Details
| NPI number | 1871825638 |
|---|---|
| LBN Legal business name | Koyama, Takanori |
| Credentials | BCBA-D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 4th, 2010 |
| Last updated | Apr 25th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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