NPI 1023856051

Korri Jo Braase

Practitioner Behavior Technician Idaho Falls, ID

Practice location

Address: 4943 N 29th E, Idaho Falls, ID 83401-1314
Phone: (307) 257-5487
Mailing address: 486 Cardinal Dr, Shelley, ID 83274-4925

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X Licence RBT-24-361793 (ID)

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1023856051
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jul 2024
Record last updated: 15 Jul 2024

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.