Whalio Doctors

NPI 1184357824

Averly Koston

Practitioner Behavior Technician Brookpark, OH

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
Behavioral Health & Social Service Providers Taxonomy 106S00000X

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.