Individual
ELLIE DELONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1820 E 17TH ST, IDAHO FALLS, ID 83404-6469
(208) 497-0085
Mailing address
600 W ANDERSON ST APT 3102, IDAHO FALLS, ID 83402-2069
(608) 354-3713
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/23/2025
Last updated
10/23/2025
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