Individual
KELLEY ANNE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
7161 W POTOMAC DR, BOISE, ID 83704-9148
(208) 629-8225
Mailing address
7161 W POTOMAC DR, BOISE, ID 83704-9148
(208) 629-8225
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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