Individual
JALEH DAVARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 N MONROE ST, SUITE 200, SPOKANE, WA 99201-2104
(509) 209-2696
Mailing address
901 N MONROE ST, SUITE 200, SPOKANE, WA 99201-2104
(509) 209-2696
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
CG60444660
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CG60444660
—
WA
Enumeration date
01/02/2014
Last updated
10/03/2014
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