Individual
CHRISTINA IMGRUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., BCBA
Contact information
Practice address
1967 S CREEKSIDE LN, BOISE, ID 83706-4036
(805) 668-8957
Mailing address
5895 S HARRINGTON WAY, BOISE, ID 83709-6096
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-40207
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
05/18/2017
Last updated
07/21/2022
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