Individual
CHRISTINE LYNN CEARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 18TH ST, LEWISTON, ID 83501-5924
(209) 614-5589
Mailing address
3520 18TH ST, LEWISTON, ID 83501-5924
(209) 614-5589
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
ID
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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