Healthcare Provider Details

I. General information

NPI: 1073434643
Provider Name (Legal Business Name): HANNAH LYNN STAEBELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1720 N HAMILTON ST
SPOKANE WA
99207-2474
US

IV. Provider business mailing address

3701 E HIGHGROVE LN
SPOKANE WA
99223-6162
US

V. Phone/Fax

Practice location:
  • Phone: 360-240-0022
  • Fax:
Mailing address:
  • Phone: 509-990-5604
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberWDL3PZ46123B
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: