Individual
ALEXANDRA KYLA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8474 W LIMELIGHT ST APT 306, BOISE, ID 83714-6189
(570) 445-0248
Mailing address
8474 W LIMELIGHT ST APT 306, BOISE, ID 83714-6189
(570) 445-0248
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/03/2022
Last updated
10/03/2022
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