| K2 Fmily Partnership | |
|
5723 E Dodd Rd Hayden Lake ID 83835-9376 | |
| (208) 699-1704 | |
| Not Available |
| Full Name | K2 Fmily Partnership |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5723 E Dodd Rd, Hayden Lake, Idaho |
| Authorized Official Name and Position | Katherine Wacholz (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 2086991704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| K2 Fmily Partnership 5723 E Dodd Rd Hayden Lake ID 83835-9376 Ph: (208) 699-1704 | K2 Fmily Partnership 5723 E Dodd Rd Hayden Lake ID 83835-9376 Ph: (208) 699-1704 |
| NPI Number | 1306357439 |
|---|---|
| Provider Enumeration Date | 10/16/2017 |
| Last Update Date | 10/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306357439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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