Individual
NYLA BETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3235 E OVERLAND RD, MERIDIAN, ID 83642-6711
(888) 392-8642
Mailing address
3235 E OVERLAND RD, MERIDIAN, ID 83642-6711
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
26-520263
—
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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