Organization
PACIFIC NORTHWEST BEHAVIOR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KOURTNEY LEA KENNEDY LBA, BCBA (OWNER)
(509) 995-3388
Entity
Organization
Contact information
Practice address
1209 W 1ST AVE, SPOKANE, WA 99201-4101
(509) 995-3388
(509) 321-4350
Mailing address
1209 W 1ST AVE, SPOKANE, WA 99201-4101
(509) 995-3388
(509) 321-4350
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2100815
—
WA
Enumeration date
04/22/2018
Last updated
10/18/2024
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