Individual
KALEY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 N ATLANTIC ST, SPOKANE, WA 99205-4804
(800) 781-5536
Mailing address
PO BOX 276, AIRWAY HEIGHTS, WA 99001-0276
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
CB70083828
WA
Other
Enumeration date
04/24/2026
Last updated
04/24/2026
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