Individual
REBEKAH CHRISTINE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 949-3751
Mailing address
520 SW 24TH ST APT 1, ONTARIO, OR 97914-3157
(208) 949-3751
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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