NPI 1053113654

Antonio Lebron

Practitioner Behavior Technician Coeur D Alene, ID

Practice location

Address: 1607 Lincoln Way, Coeur D Alene, ID 83814-2462
Phone: (208) 500-0567

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1053113654
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 Mar 2025
Record last updated: 25 Mar 2025

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.