Avery Laine Pruden

NPI #1386501294 in Poulsbo, Washington

Provider Information

NPI Number: 1386501294
Entity Type: Individual
Name: Avery Laine Pruden
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 5, 2026
Last Updated: Jan 5, 2026

Practice Location

Address: 19720 JENSEN WAY NE
City: Poulsbo
State: Washington
ZIP Code: 98370-7371
Phone: (385) 208-6043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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