Logan Prock
Logan Prock is a Behavior Technician in Bothell, Washington. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
19204 N Creek Pkwy Ste 110Bothell, WA 98011-8009
Phone: (888) 805-0759
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1467074658 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 11, 2020 |
| Last updated in NPPES | May 11, 2020 |
| Certification date | May 11, 2020 |
| Mailing address | 1055 E Colorado Blvd Ste 560, Pasadena, CA 91106-2380 |
Other providers in Bothell
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MS. Crystal Pham
19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 · (888) 805-0759
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Connor Powell
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Jami Jo Pratt
19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 · (818) 241-6780
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Andrea Prescott
19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 · (888) 805-0759
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Grace Qualey
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MS. Alexya Rayo
19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 · (818) 241-6780
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Amanda Rennie
19204 N Creek Pkwy Ste 110, Bothell, WA 98011-8009 · (818) 241-6780