NPI 1184357824
Averly Koston
Practice location
- Address
- 5555 Smith Rd, Brookpark, OH 44142-2028
- Phone
- (216) 453-1112
- Mailing address
- 5445 Smith Rd, Brookpark, OH 44142-2026
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1184357824
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jul 2022
- Record last updated
- 8 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.