Individual
SAMUEL KEYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1903 N JACKSON ST, JEROME, ID 83338-1551
(208) 320-2983
Mailing address
1903 N JACKSON ST, JEROME, ID 83338-1551
(208) 320-2983
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
02/05/2026
Last updated
02/05/2026
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