Individual
NICHOLAS CARRENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13815 S OPUS AVE, NAMPA, ID 83651-5351
(818) 859-0169
Mailing address
13815 S OPUS AVE, NAMPA, ID 83651-5351
(818) 859-0169
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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