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648 Monroe St Twin Falls ID 83301-3895 | |
(408) 659-0145 | |
Not Available |
Full Name | |
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Speciality | Behavior Analyst |
Location | 648 Monroe St, Twin Falls, Idaho |
Authorized Official Name and Position | April L Parnell (DIRECTOR) |
Authorized Official Contact | 4086590145 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 74 Morgan Hill CA 95038-0074 Ph: (408) 659-0145 | 648 Monroe St Twin Falls ID 83301-3895 Ph: (408) 659-0145 |
NPI Number | 1164988267 |
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Provider Enumeration Date | 02/13/2019 |
Last Update Date | 06/24/2021 |
Certification Date | 06/24/2021 |
Identifier | Type | State | Issuer |
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1164988267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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