Individual
AUSTIN GUSTAFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
(509) 505-9614
Mailing address
111 E CENTRAL AVE, SPOKANE, WA 99208-1108
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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