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Organization

BEHAVIORAL THERAPY AND CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MINDY LYNN BAKER MS (OWNER. OPERATOR)
(208) 206-7840
Entity
Organization

Contact information

Practice address
898 ABIGAIL COURT, AMMON, ID 83406
(208) 206-7840
Mailing address
898 ABIGAIL COURT, AMMON, ID 83406

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106S00000X
ID
Enumeration date
06/30/2022
Last updated
06/30/2022
About Stedi
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Product
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  • EDI platform