Individual
KAELEE MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12553 W EXPLORER DR STE 190, BOISE, ID 83713-1612
(208) 724-3240
Mailing address
1913 S SHOSHONE ST # B, BOISE, ID 83705-3440
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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