Individual
ISLAM MOH'D EISSA FARAJAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA 99216-2830
(509) 995-3388
Mailing address
PO BOX 8344, SPOKANE, WA 99203-0344
(509) 995-3388
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
LABA.AB.70024265
WA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/30/2024
Last updated
08/20/2025
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