Individual
SHERIDAN ORENE PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
419 W MAIN ST APT 214, REXBURG, ID 83440-1468
(208) 709-3392
Mailing address
3507 W HIGHWAY 33, REXBURG, ID 83440-3166
(208) 709-3392
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/13/2024
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