Mr. CODY LEONARD FERNOW
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1689429342- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1087 E PARK BLVD SUITE 100, BOISE, ID, 837127722
- Phone
- (208) 369-3168
Specialties & Taxonomies
Behavior Technician
Primary