Healthcare Provider Details

I. General information

NPI: 1558083261
Provider Name (Legal Business Name): MRS. PRINCESS ATWERE - AKOSAH TIAKOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1919 N PITTSBURG ST STE B
KENNEWICK WA
99336-7216
US

IV. Provider business mailing address

1919 N PITTSBURG ST STE B
KENNEWICK WA
99336-7216
US

V. Phone/Fax

Practice location:
  • Phone: 509-233-4779
  • Fax:
Mailing address:
  • Phone: 509-233-4779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: