MALLORY MCCLAIN
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1093569618- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1905 S TOPAZ WAY STE 100, MERIDIAN, ID, 836424477
- Phone
- (208) 518-0870
Specialties & Taxonomies
Behavior Technician
Primary
All Addresses
MAILING
1758 W SEGO PRAIRIE ST
KUNA, ID, 836343168