Individual
JAIME BETH SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 OLD HILL RD, EAGLE, ID 83616-4302
(208) 421-2155
Mailing address
2041 OLD HILL RD, EAGLE, ID 83616-4302
(208) 421-2155
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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