| NPI | 1154892065 |
|---|---|
| Former Legal Business Name | BEHAVIORAL INNOVATIONS OF IDAHO |
| Entity Type | Organization |
| Authorized Contact | MARGARET IMLAY Owner 208-995-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |