Individual
HARRISON ANDERSON MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4943 N 29TH E STE B, IDAHO FALLS, ID 83401-1314
(307) 257-5487
Mailing address
300 N 2ND W APT 3202, REXBURG, ID 83440-1206
(208) 440-8519
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-26-538485
ID
Other
Enumeration date
06/10/2026
Last updated
06/10/2026
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