Avery Justine Odegard

Behavior Technician · Kent, WA

Individual Active NPI

NPI number 1578024220

Practice location

6624 S 196TH St Ste 107
Kent, WA 98032-3113
Phone
(800) 249-1266

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NPI record

NPI
1578024220
Entity type
Individual (Type 1)
Enumeration date
March 26, 2019
Last updated
March 26, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — —

Mailing address

1301 E Orangewood Ave
Anaheim, CA 92805-6807
Phone
(800) 249-1266

About Avery Odegard

Avery Justine Odegard is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 6624 S 196TH St Ste 107, Kent, WA 98032-3113. The NPI number 1578024220 was assigned on March 26, 2019 and the record was last updated on March 26, 2019.

Frequently asked questions

What is the NPI number of Avery Justine Odegard?

The NPI number is 1578024220.

What is the phone number of Avery Odegard?

The phone number listed for the practice location is (800) 249-1266.

Where is Avery Odegard located?

6624 S 196TH St Ste 107, Kent, WA 98032-3113.

What is the taxonomy code for Avery Odegard?

The primary taxonomy code is 106S00000X – Behavior Technician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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