Individual
GENEVIEVE CHRISTINE FAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BI
Contact information
Practice address
331 E NORTH ST, HAGERMAN, ID 83332-5010
(208) 731-4854
Mailing address
331 E NORTH ST, HAGERMAN, ID 83332-5010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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