Individual
BEAU EDOUARD GRIFFITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
623 S UNIVERSITY BLVD, NAMPA, ID 83686-5800
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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