Individual
BENJAMIN ALAN WEST FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4746 11TH AVE NE STE 102, SEATTLE, WA 98105-4660
(206) 535-8876
Mailing address
18503 SE 267TH ST, COVINGTON, WA 98042-8441
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/25/2019
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