Individual
NICOLE HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
8300 W GRUBSTAKE ST, BOISE, ID 83709-4959
(916) 672-7443
Mailing address
8300 W GRUBSTAKE ST, BOISE, ID 83709-4959
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/09/2020
Last updated
08/09/2020
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