Individual
JACQUELINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4232 N WATERFORD PL, BOISE, ID 83703-3490
(804) 466-1323
Mailing address
640 GRASSMERE PARK STE 116, NASHVILLE, TN 37211-3678
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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