Stephanie L Boone

Individual provider Active NPI Behavior Analyst · Pullman, WA

NPI 1386359495 · NPPES record last updated Jan 23, 2023

Key facts

NPI
1386359495
Entity type
Individual (NPI type 1)
Primary specialty
Behavior Analyst 103K00000X
License
PENDING
Practice address
340 NE Maple St
Pullman, WA 99163-4120
Phone
(509) 334-1133
NPI assigned
Jan 23, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X PENDING Yes

Addresses

Primary practice location

340 NE Maple St
Pullman, WA 99163-4120

Mailing address

340 NE Maple St
Pullman, WA 99163-4120
Phone (509) 334-1133

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sboone@prcounseling.org Direct

Other providers in Pullman, WA

All providers in Pullman, WA · Behavior Analyst in Washington

Sources for this page

Verify at the official NPI Registry.