Organization
MISSING PIECE AUTISM SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE PETERSON BCBA, LBA (OWNER, BCBA)
(509) 795-0777
Entity
Organization
Contact information
Practice address
12005 E 12TH AVE, SPOKANE VALLEY, WA 99206-5456
(509) 795-0777
Mailing address
12005 E 12TH AVE, SPOKANE VALLEY, WA 99206-5456
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098134
—
WA
Enumeration date
10/18/2022
Last updated
10/18/2022
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