Individual
MS. SABRINA L BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
803 HARRISON ST, TWIN FALLS, ID 83301
(208) 732-1548
(208) 736-2182
Mailing address
803 HARRISON ST, TWIN FALLS, ID 83301-3925
(208) 732-1548
(208) 736-2182
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
ID
222Q00000X
Developmental Therapist
—
ID
Other
Enumeration date
06/08/2017
Last updated
07/21/2022
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