Individual
EMILY AWADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 S SPOONBILL AVE, MERIDIAN, ID 83642-1392
(208) 312-0434
Mailing address
1103 S SPOONBILL AVE, MERIDIAN, ID 83642-1392
(208) 312-0434
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/21/2018
Last updated
11/09/2020
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