Individual
GRACE BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(509) 321-7591
Mailing address
1720 N HAMILTON ST, SPOKANE, WA 99207-2474
(509) 321-7591
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB61579787
WA
Other
Enumeration date
07/17/2023
Last updated
08/20/2024
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