AUTUMN EDJ ALLBERT
Individual Provider (NPI-1)
Active
Case Manager/Care Coordinator
Provider Information
- NPI Number
1689313462- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 524 S 9TH AVE STE 103, CALDWELL, ID, 836055072
- Phone
- (208) 454-8555
Specialties & Taxonomies
Case Manager/Care Coordinator
Primary License: ID #RBT-22-203613
Behavior Technician
License: ID #RBT-22-203613