Individual
ASPEN ROSE HUCKSTEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY STE 100, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
3104 N VENABLE LN APT 207, MERIDIAN, ID 83646-1820
(208) 809-1064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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