Individual
HOLLY STROUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, BCBA,
Contact information
Practice address
17441 UPPER PLEASANT RIDGE RD, CALDWELL, ID 83607-9204
(208) 407-4934
Mailing address
17441 UPPER PLEASANT RIDGE RD, CALDWELL, ID 83607-9204
(208) 407-4934
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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