Individual
TINA BARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7905 N MEADOWLARK WAY, COEUR D ALENE, ID 83815-5041
(208) 618-2593
(800) 513-7773
Mailing address
631 ARROW LEAF LN, ATHOL, ID 83801-9606
(253) 691-4207
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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