Brandon Wilson Prouty
NPI #1417652868 in Chewelah, Washington
Provider Information
- NPI Number
- 1417652868
- Entity Type
- Individual
- Name
- Brandon Wilson Prouty
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Apr 4, 2023
- Last Updated
- Apr 4, 2023
Practice Location
- Address
- 806 N WEST ST
- City
- Chewelah
- State
- Washington
- ZIP Code
- 99109-9188
- Phone
- (808) 681-2718
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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