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1154892065
IDAHO BEHAVIOR CHANGE
BOISE, ID
NPI
1154892065
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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
Business Address
IDAHO BEHAVIOR CHANGE
2525 W DAVIS ST
BOISE, ID 83702-2222
Phone number: 208-995-1170
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Mailing Address
IDAHO BEHAVIOR CHANGE
2525 W DAVIS ST
BOISE, ID 83702-2222
Phone number: 208-995-1170
Copy
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