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NPI Code Detail

MEDICARE: ALYSSA KATE GODWIN

MEDICARE: ALYSSA KATE GODWIN
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1225960644
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA KATE GODWIN
Provider Business Mailing Address
First Line : 435 NE OAK ST APT 2
Second Line :
City : PULLMAN
State : WA
Zip : 99163-4142
Country : US
Telephone Number : 509-505-9614
Fax Number : 509-960-5916
Provider Business Practice Location Address
First Line : 111 E CENTRAL AVE
Second Line :
City : SPOKANE
State : WA
Zip : 99208-1108
Country : US
Telephone Number : 509-505-9614
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ ALYSSA KATE GODWIN ” Practice Location

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