Individual
DRITA ZECIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.SPED.
Contact information
Practice address
4045 N DALTON LN, BOISE, ID 83704-3202
(208) 841-1141
Mailing address
4045 N DALTON LN, BOISE, ID 83704-3202
(208) 841-1141
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0003671
—
ID
Enumeration date
08/02/2019
Last updated
08/02/2019
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