NPI 1154892065
Idaho Behavior Change
Practice location
- Address
- 2525 W Davis St, Boise, ID 83702-2222
- Phone
- (208) 995-1170
Authorised official
- Name
- Margaret Imlay
- Title
- Owner
- Phone
- (208) 995-1170
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1154892065
- Entity type
- Organization
- NPI issued
- 17 Dec 2018
- Record last updated
- 17 Dec 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.