NPI age
3 years
Enumerated 2022-08-11
Across 1155 active behavior technician providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 106S00000X | |
| 05 (ID) | 1417685967 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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