Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | ||
N | 106E00000X | Assistant Behavior Analyst |
NPI | 1003354523 |
---|---|
Provider Name | Stephanie Jean-Ly Bessent |
First Address | Spokane, WA 99202-5081 |
Second Address | Spokane, WA 99202-5081 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2017 |
Last Update Date | 01/12/2017 |