SearchIdahoBehavior Technician

Summer Johnston, BS

NPI 1629771753 · on the registry since 2023 · sole proprietor

Practice

Address
120 S Hawthorne Rd
Pocatello, ID 83202
Phone
(208) 221-7899

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
2023-03-27

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