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Organization

ID BEHAVIORAL HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TYLER JORDAN POND PA-C (OWNER/CLINICIAN)
(208) 557-3255
Entity
Organization

Contact information

Practice address
150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
(208) 557-3255
(208) 471-5069
Mailing address
150 N WOODRUFF AVE, IDAHO FALLS, ID 83401-4335
(208) 557-3255
(208) 471-5069

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/11/2025
Last updated
02/03/2026
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