| Syzygy, Llc | |
|
676 W Pullman Rd #235 Moscow ID 83843-2061 | |
| (208) 874-7969 | |
| Not Available |
| Full Name | Syzygy, Llc |
|---|---|
| Speciality | Behavior Analyst |
| Location | 676 W Pullman Rd, Moscow, Idaho |
| Authorized Official Name and Position | Nathan Lyon (BEHAVIOR ANALYST) |
| Authorized Official Contact | 2088747969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Syzygy, Llc 676 W Pullman Rd #235 Moscow ID 83843-2061 Ph: (208) 874-7969 | Syzygy, Llc 676 W Pullman Rd #235 Moscow ID 83843-2061 Ph: (208) 874-7969 |
| NPI Number | 1053856336 |
|---|---|
| Provider Enumeration Date | 12/22/2016 |
| Last Update Date | 12/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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