Individual
AMY TONKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 ADA AVE, IDAHO FALLS, ID 83402-2148
(208) 604-3296
Mailing address
1235 ADA AVE, IDAHO FALLS, ID 83402-2148
(208) 604-3296
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A0004030
—
ID
Enumeration date
11/15/2019
Last updated
11/15/2019
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