Individual
AMBER LEANN LOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 182ND ST SE, BOTHELL, WA 98012-6275
(425) 246-9784
Mailing address
16841 NE 39TH CT APT D1011, REDMOND, WA 98052-6316
(425) 533-1547
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/20/2020
Last updated
12/20/2020
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