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Individual

JULIA ANNE SCARBROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., BCBA

Contact information

Practice address
1570 MIDWAY DR, AMMON, ID 83406-6912
(208) 497-0900
Mailing address
1570 MIDWAY DR, AMMON, ID 83406-6912
(208) 497-0900

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
83-036-3926
ROYAL JOURNEYS DDA
Enumeration date
10/18/2017
Last updated
10/18/2017
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