| Northern Pines Aba | |
|
4119 E 12th Ave Spokane WA 99202-5336 | |
| (509) 990-9096 | |
| Not Available |
| Full Name | Northern Pines Aba |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4119 E 12th Ave, Spokane, Washington |
| Authorized Official Name and Position | Carly Ann Mcelvaine (OWNER) |
| Authorized Official Contact | 5099909096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Pines Aba Po Box 30395 Spokane WA 99223-3006 Ph: () - | Northern Pines Aba 4119 E 12th Ave Spokane WA 99202-5336 Ph: (509) 990-9096 |
| NPI Number | 1023600244 |
|---|---|
| Provider Enumeration Date | 02/09/2021 |
| Last Update Date | 02/09/2021 |
| Certification Date | 02/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023600244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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