Individual
AMY GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 FAIRVIEW AVE STE 330, CALDWELL, ID 83605-5425
(218) 228-3296
Mailing address
1871 SPANISH FORK WAY APT M301, MERIDIAN, ID 83642-5648
(701) 429-8937
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
235Z00000X
Speech-Language Pathologist
Primary
6671173
ID
Other
Enumeration date
02/04/2022
Last updated
08/21/2025
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