Individual
JULIA KELLY JUNE VANTRIMPONT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 EAST PARK BOULEVARD, BOISE, ID 83712
(208) 369-9168
Mailing address
1532 NE 106TH ST, SEATTLE, WA 98125-6514
(206) 965-0106
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/27/2021
Last updated
12/10/2025
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