Individual
ANALIESE MADDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
(888) 392-8642
Mailing address
700 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5285
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-465487
—
Other
Enumeration date
09/06/2025
Last updated
09/06/2025
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