Individual
MARY ELIZABETH EGBERT-HINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RBT
Contact information
Practice address
5780 MILLWRIGHT AVE, GARDEN CITY, ID 83714-1567
(208) 353-3232
Mailing address
5780 MILLWRIGHT AVE, GARDEN CITY, ID 83714-1567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-17-45313
ID
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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