Individual
JOEL AMMON FLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
I.S.
Contact information
Practice address
2702 N LARCHMONT AVE, MERIDIAN, ID 83646-6095
(208) 781-2287
Mailing address
2702 N LARCHMONT AVE, MERIDIAN, ID 83646-6095
(208) 781-2287
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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