Kyle Shorack
Kyle Shorack is a Behavior Technician in Mountlake Terrace, Washington. Licensed in Washington. Registered with an NPI since 2022.
- Licensed in
- WA
- In the registry since
- 2022
Practice location Address checks out
24120 Van Ry Blvd Ste 400Mountlake Terrace, WA 98043-5459
Phone: (425) 245-9940
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X · Licence CB61260414 (WA) |
|---|
Record details
| NPI number | 1396481545 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 24120 Van Ry Blvd Ste 400, Mountlake Terrace, WA 98043-5459 |
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Thaddeus Van Robert Sachs, BS
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24120 Van Ry Blvd Ste 400, Mountlake Terrace, WA 98043-5459 · (425) 245-9940
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