Individual
CAMPBELL ELIZABETH HUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
859 S HIGHWAY 191, 202, REXBURG, ID 83440
(307) 257-5487
Mailing address
PO BOX 20310, 55984, CHEYENNE, WY 83003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-186220
VA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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