Healthcare Provider Details

I. General information

NPI: 1629901418
Provider Name (Legal Business Name): AMETHYST ANN-MARIE KLEMPNER CBT.CB.70135112
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 W 7TH AVE STE 200
SPOKANE WA
99204-2833
US

IV. Provider business mailing address

6516 E 4TH AVE APT 204
SPOKANE VALLEY WA
99212-0622
US

V. Phone/Fax

Practice location:
  • Phone: 509-850-1080
  • Fax:
Mailing address:
  • Phone: 725-500-3847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberCBT.CB70135112
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: