Individual
JESSICA TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1905 S TOPAZ WAY, MERIDIAN, ID 83642-4477
(208) 518-0870
Mailing address
909 5TH AVE N, NAMPA, ID 83687-6730
(208) 353-6660
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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