Organization
BEHAVIOR CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH LAMANA DHSC, BCBA (OWNER, BCBA)
(208) 907-4038
Entity
Organization
Contact information
Practice address
4961 ANDERSON WAY, NAMPA, ID 83687-8477
(208) 907-4038
(208) 992-0246
Mailing address
4961 ANDERSON WAY, NAMPA, ID 83687-8477
(831) 245-6291
(208) 992-0246
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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