Individual
MITZI THURSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4694 RAMSGATE DR, POCATELLO, ID 83202-1728
(208) 223-3828
Mailing address
4694 RAMSGATE DR, POCATELLO, ID 83202-1728
(208) 223-3828
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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