| Buitron Behavioral Health, Llc | |
|
6669 N Exeter Ln Apt 103 Meridian ID 83646-1582 | |
| (951) 392-0237 | |
| Not Available |
| Full Name | Buitron Behavioral Health, Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 6669 N Exeter Ln Apt 103, Meridian, Idaho |
| Authorized Official Name and Position | Vanessa Ruby Fuentes (OWNER) |
| Authorized Official Contact | 9513920237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Buitron Behavioral Health, Llc Po Box 1658 Meridian ID 83680-1658 Ph: (951) 392-0237 | Buitron Behavioral Health, Llc 6669 N Exeter Ln Apt 103 Meridian ID 83646-1582 Ph: (951) 392-0237 |
| NPI Number | 1043087828 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043087828 | NPI | - | NPPES |
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