Individual
EMMANUEL BAMPENDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1951 S MAYFLOWER WAY, BOISE, ID 83709-8529
(208) 713-7505
Mailing address
1951 S MAYFLOWER WAY, BOISE, ID 83709-8529
(208) 713-7505
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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