KYLE SAMUEL AMBURGEY
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1376415216- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1820 E 17TH ST STE 330, IDAHO FALLS, ID, 834046400
- Phone
- (909) 567-7901
Specialties & Taxonomies
Behavior Technician
Primary License: ID