Most Relevant Information
Provider Data
| NPI Number: | 1003414681 |
| Provider Name: | JACQUELYN HOSTON |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/15/2020 |
| Last Updated: | 10/15/2020 |
Provider Practice Location
111 E CENTRAL AVE
SPOKANE
WA
992081108
Practice Location Phone/Fax
| Phone: | 3602400022 |
| Fax: |
Provider Mailing Location
111 E CENTRAL AVE
SPOKANE
WA
992081108
Provider Mailing Phone/Fax
| Phone: | 3602400022 |
| Fax: |