DOMINIQUE LASTAR ASHLEY
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1942158829- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 16201 E INDIANA AVE STE 3400, SPOKANE VALLEY, WA, 992162830
- Phone
- (509) 900-3669
Specialties & Taxonomies
Behavior Technician
Primary License: WA #CB70108657