Individual
DARA MALTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1742 TARGHEE DR, TWIN FALLS, ID 83301-3548
(208) 293-4534
Mailing address
1742 TARGHEE DR, TWIN FALLS, ID 83301-3548
(208) 293-4534
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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