Individual
KATIE OKENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13252 W FRINGETREE ST, BOISE, ID 83713-1982
(925) 305-6478
Mailing address
13252 W FRINGETREE ST, BOISE, ID 83713-1982
(925) 305-6478
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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