Provider Demographics
NPI:1770082653
Name:NKAYAMBA, ROSE YONA (BEHAVIORAL THERAPIST)
Entity type:Individual
Prefix:MRS
First Name:ROSE
Middle Name:YONA
Last Name:NKAYAMBA
Suffix:
Gender:F
Credentials:BEHAVIORAL THERAPIST
Other - Prefix:MS
Other - First Name:ROSE
Other - Middle Name:YONA
Other - Last Name:NKAYAMBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BEHAVIORAL THERAPIST
Mailing Address - Street 1:100 N HOWARD ST STE W
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:978-806-4070
Mailing Address - Fax:
Practice Address - Street 1:6505 216TH ST SW STE 100
Practice Address - Street 2:
Practice Address - City:MOUNTLAKE TERRACE
Practice Address - State:WA
Practice Address - Zip Code:98043-2089
Practice Address - Country:US
Practice Address - Phone:425-678-6463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-07
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
WAMC61685043101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician