Angela Renae Wilburn
Behavior Technician in Spokane, WA. Individual provider (NPI-1).
NPI number1053929596
StatusActive
Last updated in NPPESJul 21, 2020
Details
- NPI
- 1053929596
- Entity type
- Individual (NPI-1)
- Name
- Angela Renae Wilburn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2020
- Certification date
- Jul 21, 2020
- Last updated
- Jul 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | WA | Yes |
Practice location
111 E Central AveSpokane, WA 99208-1108
Phone 360-240-0022
Mailing address
25630 46th Ave SKent, WA 98032-9713
Phone 206-852-1728
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