Healthcare Provider Details

I. General information

NPI: 1275444754
Provider Name (Legal Business Name): AMY GEN SCHOEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 E CENTRAL AVE
SPOKANE WA
99208-1108
US

IV. Provider business mailing address

111 E CENTRAL AVE
SPOKANE WA
99208-1108
US

V. Phone/Fax

Practice location:
  • Phone: 509-505-9614
  • Fax: 509-960-5916
Mailing address:
  • Phone: 509-505-9614
  • Fax: 509-960-5916

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB.70183128
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: