| Behavior Club | |
|
4961 Anderson Way Nampa ID 83687-8477 | |
| (208) 907-4038 | |
| (208) 992-0246 |
| Full Name | Behavior Club |
|---|---|
| Speciality | Behavior Analyst |
| Location | 4961 Anderson Way, Nampa, Idaho |
| Authorized Official Name and Position | Sarah Lamana (OWNER, BCBA) |
| Authorized Official Contact | 2089074038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavior Club 4961 Anderson Way Nampa ID 83687-8477 Ph: (831) 245-6291 | Behavior Club 4961 Anderson Way Nampa ID 83687-8477 Ph: (208) 907-4038 |
| NPI Number | 1083334221 |
|---|---|
| Provider Enumeration Date | 08/29/2022 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083334221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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