Individual
MS. AMY LYN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
700 ROBINS AVE, IDAHO FALLS, ID 83401-3417
(208) 757-2718
Mailing address
700 ROBINS AVE, IDAHO FALLS, ID 83401-3417
(208) 757-2718
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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