Individual
TALISHA DAWN MILLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1820 E 17TH ST STE 355, IDAHO FALLS, ID 83404-6453
(208) 497-0685
Mailing address
1820 E 17TH ST STE 355, IDAHO FALLS, ID 83404-6453
(208) 497-0685
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/02/2025
Last updated
10/24/2025
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