Individual
NICOLE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
859 S YELLOWSTONE HWY STE 202, REXBURG, ID 83440-5294
(307) 257-5487
Mailing address
1603 CAPITOL AVE STE 415, CHEYENNE, WY 82001-4562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-418441
ID
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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