SearchIdahoDevelopmental Therapist

Tiffany Statham

NPI 1689553075 · on the registry since 2025 · sole proprietor

Practice

Address
737 W Whitman St
Pocatello, ID 83204
Phone
(208) 241-6456

Registry record

Primary taxonomy
Developmental Therapist
222Q00000X
Also registered as
Behavior Technician
Sex
Female
Record last updated
2025-09-02

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