NPI 1093422974

Makenna Robinson

Practitioner Behavior Technician Rexburg, ID

Practice location

Address: 859 South Highway 191 Suite #202, Rexburg, ID 83440
Phone: (307) 257-5487
Mailing address: PO Box 20310 Pmb 55984, Cheyenne, WY 82003-7007

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1093422974
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Nov 2022
Record last updated: 1 Nov 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.