Individual
DANIELLE DELAIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCABA
Contact information
Practice address
720 S DIAMOND ST, NAMPA, ID 83686-5531
(906) 290-1144
Mailing address
720 S DIAMOND ST, NAMPA, ID 83686-5531
(906) 290-1144
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
0-16-7033
FL
222Q00000X
Developmental Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
SLP-5867
ID
Other
Enumeration date
12/22/2016
Last updated
03/15/2024
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