Individual
SUZANNE ROSE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6150 E GATEWAY CT, BOISE, ID 83716-9096
(208) 972-5254
Mailing address
6150 E GATEWAY CT, BOISE, ID 83716-9096
(208) 972-5254
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ZH494771K
ID
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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