Individual
KYLE STOCKMOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 99202-2954
(509) 999-5657
Mailing address
1819 E SPRINGFIELD AVE STE H, SPOKANE, WA 99202-2954
(509) 999-5657
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
AB61253983
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/15/2019
Last updated
11/21/2022
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