Individual
MR. JOSEPH MICHAEL DESTAVEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14819 E MISSION AVE, SPOKANE VALLEY, WA 99216-1960
(509) 915-9791
(509) 474-9612
Mailing address
11901 E 6TH AVE, SPOKANE VALLEY, WA 99206-2806
(850) 428-3643
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
01/14/2026
Last updated
01/14/2026
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