Individual
EZEKIEL BROUHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98660
(360) 695-1014
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/27/2019
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