Individual
DEBORAH FAITH LYGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
INTERVENTION SPECIAL
Contact information
Practice address
2043 TALUS LOOP, TWIN FALLS, ID 83301-0190
(120) 828-6885
Mailing address
2043 TALUS LOOP, TWIN FALLS, ID 83301-0190
(120) 828-6885
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053998104
—
ID
Enumeration date
03/25/2021
Last updated
03/25/2021
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