CARMEN MARIA BANUELOS
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1184541211- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3235 E OVERLAND RD, MERIDIAN, ID, 836426711
- Phone
- (888) 392-8642
Specialties & Taxonomies
Behavior Technician
Primary License: ID #AD004942T
All Addresses
MAILING
1803 CAMBRIDGE ST
CALDWELL, ID, 836078141