Individual
RICHARD H JUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA
Contact information
Practice address
8680 N WAYNE DR STE C, HAYDEN, ID 83835-5037
(208) 635-5907
(208) 635-5908
Mailing address
8680 N WAYNE DR STE C, HAYDEN, ID 83835-5037
(208) 635-5907
(208) 635-5908
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-13-14902
ID
Other
Enumeration date
05/13/2011
Last updated
12/22/2022
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