MEDICARE: CARISSA BASILE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1144793423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA BASILE

Provider Business Mailing Address
First Line	:	502 E BOONE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99258-0102
Country	:	US
Telephone Number	:	818-303-6524
Fax Number	:

Provider Business Practice Location Address
First Line	:	502 E BOONE AVE
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99258-0102
Country	:	US
Telephone Number	:	509-313-4287
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2019
Last Update Date	:	09/15/2025

Similar Medicare Providers

1245120831 — TIFFANY KAVANAUGH
Practice Location Address:

6418 E 18TH AVE
SPOKANE VALLEY, WA
99212-0102

Practice Phone: 509-499-2182
Practice Fax:

1124093497 — DR. PAUL B HASTINGS PHD
Practice Location Address:

502 E BOONE AVE
SPOKANE, WA
99258-1774

Practice Phone: 509-465-9847
Practice Fax: 509-228-9542

1154397115 — DR. STEVEN D KOFFMAN PHD
Practice Location Address:

714 E BOONE , ROSAUER JCENTER EDUCATION RC 268
SPOKANE, WA
99258-0001

Practice Phone: 509-323-6290
Practice Fax: 509-323-5964

1649233511 — DR. ERIN MARIE MORRISON M.D.
Practice Location Address:

704 E SHARP
SPOKANE, WA
99258

Practice Phone: 509-313-4052
Practice Fax:

1700842523 — DR. SHANN FERCH PHD
Practice Location Address:

714 E BOONE , AD BOX 25
SPOKANE, WA
99258-0001

Practice Phone: 509-328-4220
Practice Fax: 509-228-9542

1568494045 — VALERIE KOLOKOFF MD
Practice Location Address:

GONZAGA UNIVERSITY STUDENT HEALTH 704 E SHARP
SPOKANE, WA
99258

Practice Phone: 509-313-4066
Practice Fax:

Directions to “ CARISSA BASILE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.