KATELIN MW WAREHAM

JEROME, ID
NPI1932957875
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies101Y00000X Counselor
103G00000X Clinical Neuropsychologist
103T00000X Psychologist
104100000X Social Worker
106E00000X Assistant Behavior Analyst
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-05-07
Last Update Date2024-05-07
Business Address
KATELIN MW WAREHAM
130 SOUTH LINCOLN
JEROME, ID 83338
Phone number: 208-313-9080
Mailing Address
KATELIN MW WAREHAM
149 S 200 W
JEROME, ID 83338-6058
Phone number: 208-313-9080