Individual
ALIVIA ELIZABETH BUCKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11909 N DIVISION ST STE 102, SPOKANE, WA 99218-1969
(509) 213-1442
Mailing address
1916 E SOUTH RIVERTON AVE APT 131, SPOKANE, WA 99207-5134
(564) 202-0297
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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