Individual
ASHLEY N/A PENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CBT
Contact information
Practice address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 900-3669
Mailing address
520 4TH ST UNIT 204, CHENEY, WA 99004-1642
(509) 359-6200
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
APF-1696459573-24236
WA
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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