Individual
JOHN SEELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(425) 368-3262
Mailing address
1961 W FRANKLIN RD UNIT G104, MERIDIAN, ID 83642-5399
(986) 226-0981
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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