Individual
KATIE PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA, LBA
Contact information
Practice address
2939 S SHADYWOOD WAY, BOISE, ID 83716
(206) 240-1288
Mailing address
2939 S SHADYWOOD WAY, BOISE, ID 83716-7053
(206) 240-1288
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
146.0119641
VT
103K00000X
Behavior Analyst
Primary
BA60934056
WA
Other
Enumeration date
01/05/2017
Last updated
11/18/2019
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