Individual
YUDITH HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
130 SOUTH LINCOLN, JEROME, ID 83338
(208) 613-4646
Mailing address
944 2ND AVE W, TWIN FALLS, ID 83301-5401
(208) 810-9592
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
—
—
106E00000X
Assistant Behavior Analyst
—
—
106S00000X
Behavior Technician
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2024
Last updated
05/07/2024
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