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1265904072
JENNY VICKHAMMER
BOISE, ID
NPI
1265904072
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: 1-18-31807)
Enumeration Date
2018-12-19
Last Update Date
2020-06-30
Business Address
JENNY VICKHAMMER BCBA
12553 W EXPLORER DR
BOISE, ID 83713-1601
Phone number: 406-549-6413
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Mailing Address
JENNY VICKHAMMER BCBA
1073 OVERLAND TRAIL ST
MIDDLETON, ID 83644-5879
Phone number: 406-250-3056
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