Individual
JADE ASTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
807 W VINEYARD STREET, KENNEWICK, WA 99336
(970) 275-9661
Mailing address
13922 COTTONWOOD CREEK BLVD, KENNEWICK, WA 99338-7593
(970) 275-9661
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106759000
—
FL
Enumeration date
07/27/2020
Last updated
06/17/2025
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