Individual
CYRILLA WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
3313 W CHERRY LN STE 1041, MERIDIAN, ID 83642-1119
(208) 921-8693
(208) 416-6922
Mailing address
3313 W CHERRY LN STE 1041, MERIDIAN, ID 83642-1119
(208) 921-8693
(208) 416-6922
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-22-57850
BACB BOARD
ID
01
—
RBT-19-95584
BACB BOARD
WA
Enumeration date
08/14/2019
Last updated
07/11/2024
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