| NPI | 1316648546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN FAYE TORNKVIST Chief Administrator 208-360-8102 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |