Individual
RACHELLE LANAE WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5923 COTTON TREE LN, AMMON, ID 83406-5148
(208) 604-4410
Mailing address
5923 COTTON TREE LN, AMMON, ID 83406-5148
(208) 604-4410
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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