Individual
ANNASTASIA M KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2959 S MERIDIAN RD, MERIDIAN, ID 83642-7961
(208) 871-2102
(208) 871-2102
Mailing address
1819 ARTHUR ST APT A, CALDWELL, ID 83605-4391
(775) 388-8003
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
08/07/2026
Last updated
08/07/2026
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