Individual
ELEXUS SCACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 900-3669
Mailing address
101 ERIE ST UNIT 117, CHENEY, WA 99004-2311
(505) 999-7809
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB70006714
WA
Other
Enumeration date
06/08/2024
Last updated
09/23/2025
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