FAITH MARION BROUGHTON
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1194445908- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1592 N GEMSTONE PL, POST FALLS, ID, 838545469
- Phone
- (208) 964-5592
Specialties & Taxonomies
Behavior Technician
Primary