Individual
GILLIAN LEE SEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 W USTICK RD STE 110, MERIDIAN, ID 83646-7740
(208) 739-5469
Mailing address
716 10TH AVE S, NAMPA, ID 83651-4144
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-25-442865
ID
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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