Individual
MIA MCCUNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
859 S YELLOWSTONE HWY STE 202, REXBURG, ID 83440-5294
(307) 257-5487
Mailing address
538 S 2ND W APT 3407, REXBURG, ID 83440-6911
(385) 303-2958
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
10/20/2025
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