Individual
LANA GOULART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 871-2102
Mailing address
2549 N STOKESBERRY PL, MERIDIAN, ID 83646-1144
(208) 871-2102
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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