Individual
AMY MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1491 E SYMPHONY CT, BOISE, ID 83706-5070
(208) 515-9487
Mailing address
1491 E SYMPHONY CT, BOISE, ID 83706-5070
(208) 515-9487
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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