Individual
ALLISON RAE SMITH-VARELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
4943 N 29TH E STE B, IDAHO FALLS, ID 83401-1314
(307) 257-5487
Mailing address
111 W 7TH S, REXBURG, ID 83440-2598
(385) 258-5603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-24-386144
ID
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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