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Organization

HERITAGE COMMUNITY CHARTER SCHOOL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEREK B LINDQUIST (VICE PRINCIPAL)
(208) 453-8070
Entity
Organization

Contact information

Practice address
1803 E USTICK RD, CALDWELL, ID 83605-6607
(208) 453-8070
Mailing address
1803 E USTICK RD, CALDWELL, ID 83605-6607
(208) 453-8070

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103TS0200X
School Psychologist
235Z00000X
Speech-Language Pathologist
Primary
251300000X
Local Education Agency (LEA)

Other

Enumeration date
06/01/2015
Last updated
10/20/2025
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