Individual
KABRYA A CONNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5880 S HARRINGTON WAY, BOISE, ID 83709-6096
(208) 724-4921
Mailing address
5880 S HARRINGTON WAY, BOISE, ID 83709-6096
(208) 724-4921
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/04/2021
Last updated
01/04/2021
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