Individual
ELIZABETH DELAINE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IS, BA
Contact information
Practice address
9857 W GRANGER AVE, BOISE, ID 83704-5353
(208) 949-0834
Mailing address
9857 W GRANGER AVE, BOISE, ID 83704-5353
(208) 949-0834
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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