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707 W 7th Ave Ste 200 Spokane WA 99204-2832 | |
| (509) 850-1080 | |
| (509) 461-2532 |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 707 W 7th Ave Ste 200, Spokane, Washington |
| Authorized Official Name and Position | Amy Katherine Fenwick (OWNER) |
| Authorized Official Contact | 5098501080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
707 W 7th Ave Ste 200 Spokane WA 99204-2832 Ph: (509) 850-1080 | 707 W 7th Ave Ste 200 Spokane WA 99204-2832 Ph: (509) 850-1080 |
| NPI Number | 1003324666 |
|---|---|
| Provider Enumeration Date | 01/17/2018 |
| Last Update Date | 01/21/2020 |
| Certification Date | 01/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003324666 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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