Individual
TAYLOR KADENCE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E PARK BLVD #100, BOISE, ID 83712
(208) 369-9168
Mailing address
12140 W BOWMONT ST, BOISE, ID 83713-6600
(208) 999-2951
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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