Individual
SIDNEY JO LUVISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(951) 219-1204
Mailing address
900 W ROYAL BLVD APT 340, BOISE, ID 83706-3078
(951) 219-1204
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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