Individual
KADEN THREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 S YELLOWSTONE HWY STE 202, REXBURG, ID 83440-5294
(307) 257-5487
Mailing address
PO BOX 20310 UNIT 55984, CHEYENNE, WY 82003-7007
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
10/12/2023
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