Individual
ABIGAIL CARNLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
738 S. BRIDGE PL #150, EAGLE, ID 83618
(888) 392-8642
Mailing address
1800 N COLE RD APT B107, BOISE, ID 83704-7378
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26523097
ID
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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