Individual
MIKAYLA DARRINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1087 E PARK BLVD, BOISE, ID 83712
(208) 369-9168
Mailing address
2812 S MONTANA AVE, CALDWELL, ID 83605-5772
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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