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Contact Information

KYLE STOCKMOE
1819 E SPRINGFIELD AVE STE H
SPOKANE, WA99202-2954
 Phone: 509-999-5657
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
Indicates primary specialty

NPI Profile & details for KYLE STOCKMOE · (Male)

NPI Number 1538704374
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2019
Last updated 11/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • WA License # AB61253983
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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