Organization
AUTISM BEHAVIOR ACADEMICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN REYES BCBA (OWNER)
(385) 319-0395
Entity
Organization
Contact information
Practice address
130 SOUTH LINCOLN, JEROME, ID 83338
(385) 319-0395
Mailing address
130 SOUTH LINCOLN, JEROME, ID 83338
(385) 319-0395
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215511639
—
ID
05
—
1568991628001
—
ID
Enumeration date
12/14/2023
Last updated
12/14/2023
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