Individual
DAVID ALAN OGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
711 E 3RD AVE, SPOKANE, WA 99202-2211
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
CB61025168
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
01/16/2020
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