Individual
ISABELLA ROSE O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY, MERIDIAN, ID 83642-4477
(208) 417-7971
Mailing address
5739 N CALCUTTA AVE, MERIDIAN, ID 83646-7824
(619) 771-2021
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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