NPI 1003560160
Perla Mondragon
Practice location
- Address
- 4232 N Waterford Pl, Boise, ID 83703-3490
- Phone
- (208) 871-2102
Registered specialties
Behavior Technician
Primary
Registry record
- NPI
- 1003560160
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Feb 2022
- Record last updated
- 8 Feb 2022
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.