Healthcare Provider Details

I. General information

NPI: 1407512734
Provider Name (Legal Business Name): KAYDENCE DAY TAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAYDENCE SANCHEZ

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 N SULLIVAN RD STE F139
SPOKANE VALLEY WA
99037-8543
US

IV. Provider business mailing address

22809 E COUNTRY VISTA DR APT 90
LIBERTY LAKE WA
99019-7544
US

V. Phone/Fax

Practice location:
  • Phone: 855-832-6727
  • Fax:
Mailing address:
  • Phone: 951-396-0546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License NumberLABA.AB.70115790
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: