NPI 1740835834
Crt Children Services LLC
Practice location
- Address
- 212 Rodeo Dr STE 510, Moscow, ID 83843-9795
- Phone
- (208) 874-8002
- Fax
- (208) 596-4010
- Mailing address
- PO Box 3491, Moscow, ID 83843-1912
Authorised official
- Name
- Calvin Roger Stowe
- Title
- Administrator
- Phone
- (208) 340-2370
Registered specialties (3)
Behavior Analyst
Primary
Assistant Behavior Analyst
Behavior Technician
Registry record
- NPI
- 1740835834
- Entity type
- Organization
- NPI issued
- 6 Aug 2019
- Record last updated
- 15 Sep 2021
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.