Organization
NORTH STAR CHILD DEVELOPMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILLIE JO DAVIS BCBA (PRESIDENT)
(208) 765-6828
Entity
Organization
Contact information
Practice address
1583 W DALTON AVE, COEUR D ALENE, ID 83815-8962
(208) 765-6828
(208) 765-5893
Mailing address
1583 W DALTON AVE, COEUR D ALENE, ID 83815-8962
(208) 765-6828
(208) 765-5893
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1NSCDC136
ID
Other
Enumeration date
06/05/2007
Last updated
08/22/2020
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