Individual
AMY LAUREN DEBRULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3144 W BELLTOWER DR, MERIDIAN, ID 83646-4882
(208) 219-7790
(510) 288-0444
Mailing address
3957 W LESINA DR, MERIDIAN, ID 83646-1290
(208) 914-4802
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/30/2024
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