Individual
BAYLEE BEAZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 N ATANTIC STREET, SPOKANE, WA 99205-4804
(509) 992-4480
Mailing address
3503 E PINEGLEN AVE, MEAD, WA 99021-9358
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
WA
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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