Individual
KADE VILBIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
255 E ST APT 104, IDAHO FALLS, ID 83402-3526
(208) 243-5173
Mailing address
809 S 4TH AVE APT 4, POCATELLO, ID 83201-6619
(208) 243-5173
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
06/15/2022
Last updated
02/12/2024
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