Individual
BRIAN GEMMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1087 E. PARK BLVD, BOISE, ID 83712
(208) 369-9185
Mailing address
1087 E. PARK BLVD, BOISE, ID 83712
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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