Search › Washington › 106S00000X
Jessica Bolyard
NPI 1447673884 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1209 W 1st Ave
Spokane, WA 99201 - Phone
- (509) 995-3388
- Organisation at this address
- Pacific Northwest Behavior, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 31
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 225700000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington