NPI 1043541543

Drew Harold Burrell, LSW

Practitioner Behavior Analyst Fort Hall, ID

Practice location

Address: 717 Mission Rd 306, Fort Hall, ID 83203-0306
Phone: (208) 238-2400
Fax: (208) 238-5462
Mailing address: 717 Mission Rd, Fort Hall, ID 83203-0717

Registered specialties

Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence LSW27969 (ID)

Other Behavior Analyst providers in Idaho →

Registry record

NPI: 1043541543
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jan 2010
Record last updated: 22 Jan 2010

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.