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Search › Idaho › 103K00000X

Jenny Vickhammer, BCBA

NPI 1265904072 · on the registry since 2018

Practice

Address
12553 W Explorer Dr
Boise, ID 83713
Phone
(406) 549-6413
Organisation at this address
Mentor Idaho, Llc
Thrive Community Services, Llc
Trivium Life Services Mountain West, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
28

Registry record

Primary taxonomy
103K00000X
103K00000X
Sex
Female
Record last updated
2020-06-30

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