Individual
ELIZABETH WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
309 S 5TH W TRLR 12, REXBURG, ID 83440-2124
(602) 882-3981
Mailing address
309 S 5TH W TRLR 12, REXBURG, ID 83440-2124
(602) 882-3981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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