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NPI Code Detail

MEDICARE: JOSHUA BOSSE

MEDICARE: JOSHUA BOSSE
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 : 1407382583
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA BOSSE
Provider Business Mailing Address
First Line : 2020 W PACIFIC AVE
Second Line : APT A
City : SPOKANE
State : WA
Zip : 99201-7699
Country : US
Telephone Number : 208-446-6015
Fax Number :
Provider Business Practice Location Address
First Line : 300 N ARGONNE RD
Second Line : SUITE 204
City : SPOKANE VALLEY
State : WA
Zip : 99212-2839
Country : US
Telephone Number : 208-699-2595
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2017
Last Update Date : 01/25/2026

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Directions to “ JOSHUA BOSSE ” Practice Location

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