Individual
GABRIELA MCIRVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(503) 880-4838
Mailing address
227 S ORCHARD ST # C208, BOISE, ID 83705-1362
(503) 880-4838
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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