Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Wilson Prouty

Individual provider Behavior Technician · NPI 1417652868

Brandon Wilson Prouty is a Behavior Technician in Chewelah, Washington. Licensed in Washington. Registered with an NPI since 2023.

Licensed in
WA
In the registry since
2023

Practice location Address checks out

806 N West St
Chewelah, WA 99109-9188
Phone: (808) 681-2718
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X · Licence 23-261073 (WA)

Record details

NPI number1417652868
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 4, 2023
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

Other providers in Chewelah