Individual
REBECCA USES ARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BIS
Contact information
Practice address
5265 MESQUITE DR APT I101, CHUBBUCK, ID 83202-2279
(208) 970-3833
(208) 970-3833
Mailing address
5265 MESQUITE DR APT I101, CHUBBUCK, ID 83202-2279
(208) 970-3833
(208) 970-3833
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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