LACY JANE BEBOUT
Individual Provider (NPI-1)
Active
Behavior Technician
Provider Information
- NPI Number
1962376780- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 7905 N MEADOWLARK WAY, COEUR D ALENE, ID, 838155041
- Phone
- (208) 618-2709
Specialties & Taxonomies
Behavior Technician
Primary