Individual
JESSICA DENAE NAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E. PARK BLVD, BOISE, ID 83712
(208) 972-5254
Mailing address
3805 E COPPER POINT DR UNIT M203, MERIDIAN, ID 83642-8255
(530) 488-6644
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/08/2019
Last updated
05/05/2021
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