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Organization
JBC LANGUAGE AND BEHAVIOR THERAPY
Active
Organization
JBC LANGUAGE AND BEHAVIOR THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA IMGRUND BCBA (OWNER)
(630) 240-4437
Entity
Organization
Contact information
Practice address
1967 S CREEKSIDE LN, BOISE, ID 83706-4036
(805) 668-8957
Mailing address
5895 S HARRINGTON WAY, BOISE, ID 83709-6096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
01/17/2025
Last updated
01/17/2025
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