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Individual

CARINA RAELIEN CALIBUSO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(509) 867-3721
(866) 240-0809
Mailing address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(509) 867-3721
(866) 240-0809

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
WA
106E00000X
Assistant Behavior Analyst
WA
106S00000X
Behavior Technician
WA

Other

Enumeration date
04/08/2020
Last updated
04/08/2020
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