Individual
REILEY E MAUPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 LONG VALLEY ST, NAMPA, ID 83687-8687
(208) 370-8445
Mailing address
814 LONG VALLEY ST, NAMPA, ID 83687-8687
(208) 370-8445
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
09/23/2024
Last updated
09/24/2024
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