Individual
TAYLOR FRATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 960-7474
Mailing address
1214 W CHAMBERLIN ST, BOISE, ID 83706-4108
(480) 392-0491
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2023
Last updated
05/16/2023
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