Individual
RACHEL J GRENZEBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA
Contact information
Practice address
3417 S SHORTLEAF AVE, BOISE, ID 83716
(716) 491-9973
Mailing address
3417 S SHORTLEAF AVE, BOISE, ID 83716
(716) 491-9973
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
07/27/2022
Last updated
05/28/2024
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