Autism Behavior Academics | |
130 South Lincoln Jerome ID 83338 | |
(385) 319-0395 | |
Not Available |
Full Name | Autism Behavior Academics |
---|---|
Speciality | Behavior Analyst |
Location | 130 South Lincoln, Jerome, Idaho |
Authorized Official Name and Position | Jean Reyes (OWNER) |
Authorized Official Contact | 3853190395 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Autism Behavior Academics 130 South Lincoln Jerome ID 83338 Ph: (385) 319-0395 | Autism Behavior Academics 130 South Lincoln Jerome ID 83338 Ph: (385) 319-0395 |
NPI Number | 1649048133 |
---|---|
Provider Enumeration Date | 12/14/2023 |
Last Update Date | 12/14/2023 |
Certification Date | 12/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649048133 | NPI | - | NPPES |
1215511639 | Medicaid | ID | |
1568991628001 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
News Archive
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