Individual
TIANNA PROWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5150 VILLAGE PARK DR SE, BELLEVUE, WA 98006-6652
(425) 657-0620
Mailing address
12833 NEWCASTLE WAY UNIT 516, NEWCASTLE, WA 98056-1599
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61547484
WA
Other
Enumeration date
07/03/2023
Last updated
07/16/2024
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