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Organization
CRT CHILDREN SERVICES LLC
Active
Organization
CRT CHILDREN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN ROGER STOWE (ADMINISTRATOR)
(208) 340-2370
Entity
Organization
Contact information
Practice address
212 RODEO DR STE 510, MOSCOW, ID 83843-9795
(208) 874-8002
(208) 596-4010
Mailing address
PO BOX 3491, MOSCOW, ID 83843-1912
(208) 340-2370
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
08/06/2019
Last updated
09/15/2021
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