Provider Demographics
NPI:1750012621
Name:WINNETT, ALLISHIA KERYNN
Entity Type:Individual
Prefix:
First Name:ALLISHIA
Middle Name:KERYNN
Last Name:WINNETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALLISHIA
Other - Middle Name:KERYNN
Other - Last Name:SOLDANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RBT, CBT
Mailing Address - Street 1:1720 N HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2474
Mailing Address - Country:US
Mailing Address - Phone:360-240-0022
Mailing Address - Fax:
Practice Address - Street 1:1720 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2474
Practice Address - Country:US
Practice Address - Phone:360-240-0022
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-22
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician