Individual
ESPERANZA OLIVIA PRATER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 314-8736
Mailing address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
BACB1495092
ID
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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