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Individual

HEATHER HALLBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3869 GOLDEN LN, IDAHO FALLS, ID 83401-4796
(208) 521-2534
Mailing address
3869 GOLDEN LN, IDAHO FALLS, ID 83401-4796
(208) 521-2534

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ID

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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