Healthcare Provider Details

I. General information

NPI: 1487142923
Provider Name (Legal Business Name): SARAH WALSH M.ED, BCBA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2018
Last Update Date: 09/20/2021
Certification Date: 09/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W 4TH AVE STE 200
SPOKANE WA
99201-7239
US

IV. Provider business mailing address

12324 W MEADOWVIEW LN
NINE MILE FALLS WA
99026-9305
US

V. Phone/Fax

Practice location:
  • Phone: 509-324-6421
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBA61208853
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: