NPI 1053077784
Jacqueline King
Practice location
- Address
- 4232 N Waterford Pl, Boise, ID 83703-3490
- Phone
- (804) 466-1323
- Mailing address
- 640 Grassmere Park STE 116, Nashville, TN 37211-3678
Registered specialties
Behavior Analyst
Primary
Registry record
- NPI
- 1053077784
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 17 Nov 2021
- Record last updated
- 17 Nov 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.