Individual
ARIEL CLAIRE ELIZABETH MOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(708) 990-9360
Mailing address
1075 E PARK BLVD, BOISE, ID 83712-7722
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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