Individual
MACKARA LYNN ROSE SEBASTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 E SELTICE WAY, POST FALLS, ID 83854-7007
(208) 719-7158
Mailing address
1616 E SELTICE WAY, POST FALLS, ID 83854-7007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/12/2025
Last updated
02/12/2025
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