Individual
MS. ANGELA LYNN PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSIS
Contact information
Practice address
3711 N WARM CREEK AVE, MERIDIAN, ID 83646-6052
(120) 880-0345
Mailing address
3711 N WARM CREEK AVE, MERIDIAN, ID 83646-6052
(120) 880-0345
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/07/2020
Last updated
02/25/2020
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