Individual
MR. ELIJAH WILLIAM PRATER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25530 74TH AVE S, KENT, WA 98032-6014
(206) 793-6060
Mailing address
27934 122ND PL SE, KENT, WA 98030-8531
(425) 748-4883
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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