Individual
COOPER MOTYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
220 W GEORGIA AVE, NAMPA, ID 83686-2835
(208) 741-6124
Mailing address
2204 S MONTANA AVE APT 3, CALDWELL, ID 83605-5481
(208) 869-4346
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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