Individual
AMY R COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
36401 NE RIDGEVIEW DR, YACOLT, WA 98675-4618
(360) 449-9588
Mailing address
600 STEWART ST STE 300, SEATTLE, WA 98101-1257
(855) 832-6727
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
61130077
WA
Other
Enumeration date
02/21/2023
Last updated
02/21/2023
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