Individual
MIKAYLA SCHACHTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E PARK BLVD, BOISE, ID 83712
(208) 972-5254
Mailing address
2583 S OAK LEAF LN, BOISE, ID 83706-4982
(951) 833-2891
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/24/2022
Last updated
05/24/2022
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