Individual
JACIE CHRISTINE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA, LBA
Contact information
Practice address
3214 W MCGRAW ST STE 212, SEATTLE, WA 98199-3239
(206) 453-4882
Mailing address
2828 E 35TH AVE, SPOKANE, WA 99223-4633
(509) 954-3031
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
BA60930410
WA
106S00000X
Behavior Technician
106S00000X
WA
Other
Enumeration date
08/10/2015
Last updated
10/30/2019
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