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NPI Code Detail

MEDICARE: SOAR BEHAVIOR SERVICES

MEDICARE: SOAR BEHAVIOR SERVICES
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
1251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1962862615
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOAR BEHAVIOR SERVICES
Provider Business Mailing Address
First Line : 11707 E SPRAGUE AVE STE 106
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-6124
Country : US
Telephone Number : 509-999-5657
Fax Number : 509-590-4333
Provider Business Practice Location Address
First Line : 11707 E SPRAGUE AVE STE 106
Second Line :
City : SPOKANE VALLEY
State : WA
Zip : 99206-6124
Country : US
Telephone Number : 509-999-5657
Fax Number : 509-590-4333
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : JAMES MATTHEWS
Credential : EDS, MA, BCBA
Telephone Number : 509-999-5657
Provider Enumeration Date : 02/23/2016
Last Update Date : 02/16/2021

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Directions to “SOAR BEHAVIOR SERVICES ” Practice Location

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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.

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