SearchIdahoBehavior Technician

Destiny Peacock

NPI 1134070014 · on the registry since 2026

Practice

Address
5622 W Franklin Rd # E206
Boise, ID 83705
Phone
(509) 581-3001
Fax
(920) 857-3366

Registry record

Primary taxonomy
Behavior Technician
106S00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-02-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho