Individual
HAILY JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4112
(208) 213-7411
Mailing address
403 MASON LN, NAMPA, ID 83686-6646
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
ID
01
—
568946544
BCBS
—
01
—
5874
HEALTHPARTNER
—
Enumeration date
11/06/2025
Last updated
11/06/2025
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