Individual
ALEJA O LONGORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3263
Mailing address
16316 COPPERRIDGE WAY, CALDWELL, ID 83607-5088
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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