Cody Thammavongsa
Cody Thammavongsa is a Behavior Technician in Grand Rapids, Michigan. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
120 Stevens St SWGrand Rapids, MI 49507-1526
Phone: (855) 832-6727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1154064483 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 14, 2022 |
| Last updated in NPPES | April 14, 2022 |
| Certification date | April 14, 2022 |
| Mailing address | 7108 S Kanner Hwy, Stuart, FL 34997-7462 |
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