Individual
KRISTA RICHELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E PARK BLVD, BOISE, ID 83712
(208) 589-2491
Mailing address
7014 W ROSEWOOD DR, BOISE, ID 83709-1946
(208) 589-2491
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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