SearchIdahoDevelopmental Therapist

Tiahna Fairbanks, BA

NPI 1407217987 · on the registry since 2016

Practice

Address
2420 American Legion Blvd
Mountain Home, ID 83647
Phone
(208) 890-6420
Organisation at this address
Idaho Behavioral Health, Inc.
Idaho Dept Of Health & Welfare Amh Clinic Mh
Idaho Dept Of Health & Welfare Amh Psr Mt Home
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Sex
Female
Record last updated
2016-03-11

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