Individual
MRS. BOBBI RAYANN HAMILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
2110 N 14TH ST, BOISE, ID 83702-1105
(208) 891-0604
Mailing address
2110 N 14TH ST, BOISE, ID 83702-1105
(208) 891-0604
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
0-12-5129
ID
103K00000X
Behavior Analyst
Primary
1-16-23482
ID
Other
Enumeration date
11/08/2012
Last updated
01/14/2021
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