Most Relevant Information
Provider Data
| NPI Number: | 1003240656 |
| Provider Name: | TERESA BETH KOZELL-WINGETT |
| Entity Type: | Individual |
| Taxonomy Code: | 103K00000X |
| Specialty: | Behavior Analyst |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2013 |
| Last Updated: | 09/05/2013 |
Provider Practice Location
784 LOCKHAVEN DR NE
BUILDING C
KEIZER
OR
973033768
Practice Location Phone/Fax
| Phone: | 9712187381 |
| Fax: |
Provider Mailing Location
784 LOCKHAVEN DR NE
BUILDING C
KEIZER
OR
973033768
Provider Mailing Phone/Fax
| Phone: | 9712187381 |
| Fax: |