Individual
KATHRYN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1905 S TOPAZ WAY, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
1871 SPANISH FORK WAY APT H306, MERIDIAN, ID 83642-5633
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
12/16/2021
Last updated
05/07/2024
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