Individual
SARA MACKENNA MIDDLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3262
Mailing address
623 S UNIVERSITY BLVD, NAMPA, ID 83686-5800
(406) 404-4005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/07/2024
Last updated
06/07/2024
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