Most Relevant Information
Provider Data
| NPI Number: | 1003318502 |
| Provider Name: | ELISABETH KATHRYN EVANS BCBA |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/01/2018 |
| Last Updated: | 12/06/2023 |
Provider Practice Location
16201 E INDIANA AVE STE 3400
SPOKANE VALLEY
WA
992162830
Practice Location Phone/Fax
| Phone: | 5093246421 |
| Fax: |
Provider Mailing Location
340 W SUNSET WAY APT A202
ISSAQUAH
WA
980273159
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |