Individual
TYLAR RAE CROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
449 S FITNESS PL, EAGLE, ID 83616-6828
(208) 957-6301
(208) 228-0585
Mailing address
1816 NW 8TH ST, MERIDIAN, ID 83646-1503
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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