Individual
KATHERINE MEANIX V ZUBALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT, CBT
Contact information
Practice address
12382 N CHASE RD, RATHDRUM, ID 83858-7408
(208) 640-4639
Mailing address
12382 N CHASE RD, RATHDRUM, ID 83858-7408
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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