| 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 |
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