Individual
KAYLA MARIE ELSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 16TH AVE S, NAMPA, ID 83651-4348
(986) 895-3881
Mailing address
11330 W ZACHERY AVE, NAMPA, ID 83651-8068
(986) 895-3881
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/08/2024
Last updated
02/13/2024
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