Individual
SELENA KRISTINA DIRICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S FREYA ST STE 320, SPOKANE, WA 99202-4867
(509) 761-9961
(509) 497-5004
Mailing address
3909 N WALL ST APT 303, SPOKANE, WA 99205-1191
(509) 994-1695
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
WA
Other
Enumeration date
12/29/2020
Last updated
01/28/2026
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