Healthcare Provider Details

I. General information

NPI: 1073236311
Provider Name (Legal Business Name): NEUROINCLUSIVE CONTEXTUAL BEHAVIOR COALITION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 07/07/2025
Certification Date: 07/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST STE 6444
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

330 SE CESAR E CHAVEZ BLVD
PORTLAND OR
97214-2069
US

V. Phone/Fax

Practice location:
  • Phone: 206-580-3530
  • Fax: 206-492-2235
Mailing address:
  • Phone: 206-580-3530
  • Fax: 206-492-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name: JESSICA COIMBRA
Title or Position: FOUNDER AND DIRECTOR
Credential: MS, BCBA, LBA, IBA
Phone: 206-580-3530