Savannah Dierks
Behavior Technician in Spokane, WA. Individual provider (NPI-1).
NPI number1083172431
StatusActive
Last updated in NPPESMar 5, 2019
Details
- NPI
- 1083172431
- Entity type
- Individual (NPI-1)
- Name
- Savannah Dierks
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2019
- Last updated
- Mar 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
1819 E Springfield AveSpokane, WA 99202-2954
Phone 509-999-5657
Mailing address
1819 E Springfield AveSpokane, WA 99202-2954
Phone 509-999-5657
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