Individual
TEREZA BLAZKOVA WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
13284 RIVERSIDE RD, CALDWELL, ID 83607-7903
(208) 718-8871
Mailing address
13284 RIVERSIDE RD, CALDWELL, ID 83607-7903
(208) 718-8871
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-15-18620
ID
103K00000X
Behavior Analyst
Primary
1-15-18620
TX
Other
Enumeration date
11/23/2015
Last updated
05/03/2026
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