Individual
CHARLOTTE TOMEVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 KANSAS AVE, HOMEDALE, ID 83628-3417
(208) 741-3838
(208) 498-2026
Mailing address
17 KANSAS AVE, HOMEDALE, ID 83628-3417
(208) 741-3838
(208) 498-2026
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-17-26141
ID
Other
Enumeration date
06/09/2014
Last updated
03/30/2018
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