Individual
REBECCA LUCILLE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 960-7474
Mailing address
3519 E ALEXIS CT, NAMPA, ID 83686-5491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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