Individual
CASEY JAY MILBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1109 FLINT DR, CALDWELL, ID 83607-1859
(208) 880-7650
Mailing address
1109 FLINT DR, CALDWELL, ID 83607-1859
(208) 880-7650
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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