Individual
MARKISE LAVELL WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
294 1/2 W 20TH ST, IDAHO FALLS, ID 83402-4457
(208) 840-9582
Mailing address
294 1/2 W 20TH ST, IDAHO FALLS, ID 83402-4457
(208) 840-9582
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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