Individual
JUSTINE B CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
921 S ORCHARD ST STE G, BOISE, ID 83705-1992
(208) 908-0120
Mailing address
7428 BRIDGEPORT DR, NAMPA, ID 83687-8346
(208) 713-5772
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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