Individual
COLIN BALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8506 N WALL ST, SPOKANE, WA 99208-6164
(509) 381-4114
Mailing address
1215 S MAPLE ST, SPOKANE, WA 99204-4142
(541) 280-2533
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CBT.CB.61519753
WA
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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