Individual
LAURA LEANNE NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSHS
Contact information
Practice address
770 E RED BUD ST, KUNA, ID 83634-2296
(208) 994-8932
Mailing address
770 E RED BUD ST, KUNA, ID 83634-2296
(208) 994-8932
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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