Individual
KEISHA M UHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-21-160654
Contact information
Practice address
545 SHOUP AVE STE 22, IDAHO FALLS, ID 83402-3575
(307) 679-5577
Mailing address
1881 E 17TH ST APT 42, IDAHO FALLS, ID 83404-6476
(208) 219-0889
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-160654
ID
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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