Organization
BUITRON BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA RUBY FUENTES (OWNER)
(951) 392-0237
Entity
Organization
Contact information
Practice address
6669 N EXETER LN APT 103, MERIDIAN, ID 83646-1582
(951) 392-0237
Mailing address
PO BOX 1658, MERIDIAN, ID 83680-1658
(951) 392-0237
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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