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1245957240
COLLEEN IRENE SISK
HAYDEN, ID
NPI
1245957240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: ID 1-21-57392)
Enumeration Date
2022-10-20
Last Update Date
2022-10-20
Business Address
MRS. COLLEEN IRENE SISK BCBA
8680 N WAYNE DR STE C
HAYDEN, ID 83835-5037
Phone number: 208-635-5907
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Mailing Address
MRS. COLLEEN IRENE SISK BCBA
8680 N WAYNE DR STE C
HAYDEN, ID 83835-5037
Phone number: 208-635-5907
Copy
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