| Wulfenstein Llc | |
|
1708 E Railroad St Nampa ID 83687-4462 | |
| (208) 713-3773 | |
| Not Available |
| Full Name | Wulfenstein Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 1708 E Railroad St, Nampa, Idaho |
| Authorized Official Name and Position | Aaron Ray Meyer (OWNER/MANAGER) |
| Authorized Official Contact | 2087133773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wulfenstein Llc 1708 E Railroad St Nampa ID 83687-4462 Ph: (208) 713-3773 | Wulfenstein Llc 1708 E Railroad St Nampa ID 83687-4462 Ph: (208) 713-3773 |
| NPI Number | 1003507740 |
|---|---|
| Provider Enumeration Date | 05/15/2023 |
| Last Update Date | 05/15/2023 |
| Certification Date | 05/15/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003507740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106S00000X | Behavior Technician | (* (Not Available)) | Primary |
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