Individual
MRS. KAILAH PAIGE WATSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1286 N BLACK WOLF AVE, KUNA, ID 83634-2956
(208) 870-9268
Mailing address
1286 N BLACK WOLF AVE, KUNA, ID 83634-2956
(208) 870-9268
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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