Individual
ELIZABETH REAGAN HUNTSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
859 S YELLOWSTONE HWY STE 202, REXBURG, ID 83440-5294
(307) 257-5487
Mailing address
555 W MIKAN DR APT 11310, REXBURG, ID 83440-8052
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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