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Individual

SYDNEE ZAYTEL WALLENTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1090 HILINE RD, POCATELLO, ID 83201-2902
(208) 235-2900
Mailing address
5202 LUCKY AVE APT A4, CHUBBUCK, ID 83202-2395
(801) 786-9604

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician
ID
222Q00000X
Developmental Therapist

Other

Enumeration date
03/27/2023
Last updated
10/02/2025
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