Individual
SAVANNAH LYNN THURMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
3512 TAYTEN DR, NAMPA, ID 83686-8686
(208) 697-2291
Mailing address
3512 TAYTEN DR, NAMPA, ID 83686-8686
(208) 697-2291
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106S00000X
—
ID
Enumeration date
08/16/2021
Last updated
08/16/2021
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