Provider Demographics
NPI:1386103430
Name:RALEIGH, KALEY ELIZABETH (MS, BCBA, LBA)
Entity type:Individual
Prefix:
First Name:KALEY
Middle Name:ELIZABETH
Last Name:RALEIGH
Suffix:
Gender:F
Credentials:MS, BCBA, LBA
Other - Prefix:
Other - First Name:KALEY
Other - Middle Name:ELIZABETH
Other - Last Name:POLLARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:707 W 7TH AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2833
Mailing Address - Country:US
Mailing Address - Phone:509-850-1080
Mailing Address - Fax:509-461-2532
Practice Address - Street 1:707 W 7TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2833
Practice Address - Country:US
Practice Address - Phone:509-850-1080
Practice Address - Fax:509-461-2532
Is Sole Proprietor?:No
Enumeration Date:2019-03-18
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WABA61378597103K00000X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst