Individual
TABATHA ANN HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1360 W VICTORY RD, MERIDIAN, ID 83642-6908
(509) 669-9708
Mailing address
1360 W VICTORY RD, MERIDIAN, ID 83642-6908
(509) 669-9708
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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