Individual
BELLE BA DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2110 N 14TH ST, BOISE, ID 83702
(888) 657-4456
(415) 989-5001
Mailing address
150 SUTTER ST UNIT 120, SAN FRANCISCO, CA 94104-9004
(888) 657-4456
(415) 989-5001
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-18-65748
NV
Other
Enumeration date
05/19/2018
Last updated
09/09/2019
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