Most Relevant Information
Provider Data
| NPI Number: | 1003586850 |
| Provider Name: | AMANDA LAACKMANN |
| Entity Type: | Individual |
| Taxonomy Code: | 106S00000X |
| Specialty: | Behavior Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/14/2021 |
| Last Updated: | 09/14/2021 |
Provider Practice Location
11707 E SPRAGUE AVE STE 106
SPOKANE VALLEY
WA
992066124
Practice Location Phone/Fax
| Phone: | 5099995657 |
| Fax: |
Provider Mailing Location
11707 E SPRAGUE AVE STE 106
SPOKANE VALLEY
WA
992066124
Provider Mailing Phone/Fax
| Phone: | 5099995657 |
| Fax: |