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

Brock Ghosn

Individual provider Behavior Technician · NPI 1154161289

Brock Ghosn is a Behavior Technician in Maple Valley, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

22415 SE 231st St Ste B103
Maple Valley, WA 98038-5002
Phone: (425) 906-4300
Fax: (425) 906-4321
Show map & directions

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

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1154161289
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2024
Last updated in NPPESMay 28, 2024
Certification dateMay 28, 2024
Mailing address22415 Se 231st St Ste B103, Maple Valley, WA 98038-5002

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