Individual
JOSHUA SWAINSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., BCBA, LBA
Contact information
Practice address
1404 W IDAHO ST STE 101, BOISE, ID 83702-5210
(208) 968-7470
Mailing address
20457 STOCKBRIDGE WAY, CALDWELL, ID 83605-5533
(702) 335-6102
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-19-38313
NV
106S00000X
Behavior Technician
RBT-17-33627
NV
Other
Enumeration date
05/11/2017
Last updated
11/04/2022
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