Sam Locke

NPI #1003648106 in Bothell, Washington

Provider Information

NPI Number: 1003648106
Entity Type: Individual
Name: Sam Locke
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 16, 2024
Last Updated: Aug 16, 2024

Practice Location

Address: 23 218TH PL SE
City: Bothell
State: Washington
ZIP Code: 98021-8273
Phone: (425) 224-6478

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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