Kyle Stockmoe

Primary specialty

Assistant Behavior AnalystTaxonomy code 106E00000X

License

AB61253983 Issued in WA

Practice address

1819 E Springfield Ave Ste H
Spokane, WA 99202-2954

Phone

(509) 999-5657

NPI assigned

Nov 15, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1538704374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 E SPRINGFIELD AVE STE H",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022954",
            "telephone_number": "509-999-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 E SPRINGFIELD AVE STE H",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992022954",
            "telephone_number": "509-999-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKMOE",
        "first_name": "KYLE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-15",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "WA",
            "license": "AB61253983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stirewalt PC
• Linda Stitt, CDP
• Jennie Stmary
• William Michael Stobie, PT, DPT
• Ruby Rose Stocking Siagkris, MSN ARNP CNM PMHNP
• Jessica Ann Stockton, MSW, LICSW
• Karen R Stockton, RD
• David G Stoddard, MD
• Shelby Stoebe
• Megan Amy Stoffregen, MA

• Assistant Behavior Analyst in Spokane, WA
• Providers in Spokane, WA by specialty
• Assistant Behavior Analyst in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.