Provider Demographics
NPI:1649561820
Name:ROBINS, QUINANNA
Entity Type:Individual
Prefix:
First Name:QUINANNA
Middle Name:
Last Name:ROBINS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 W NORA AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99205-4800
Mailing Address - Country:US
Mailing Address - Phone:509-328-2740
Mailing Address - Fax:509-326-9207
Practice Address - Street 1:25 W NORA AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-4800
Practice Address - Country:US
Practice Address - Phone:509-328-2740
Practice Address - Fax:509-326-9207
Is Sole Proprietor?:No
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1-10-7429103K00000X
WACG 60153168101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
No101Y00000XBehavioral Health & Social Service ProvidersCounselor