Individual
AMANDA LOU BRUNMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
775 S ARROWROCK AVE, MIDDLETON, ID 83644-5272
(208) 469-0036
Mailing address
775 S ARROWROCK AVE, MIDDLETON, ID 83644-5272
(208) 469-0036
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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