NPI 1427755404

Nickcole Melanie Young, BI

Practitioner Behavior Technician Chubbuck, ID

Practice location

Address: 5202 Lucky Ave APT A2, Chubbuck, ID 83202-2395
Phone: (208) 380-2249

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Registry record

NPI: 1427755404
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Feb 2023
Record last updated: 10 Feb 2023

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.