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Search › Wyoming › 101YM0800X

Idel Enriquez

NPI 1902612070 · on the registry since 2024

Practice

Address
420 W Pearl Ave Fl 2
Jackson, WY 83001
Phone
(307) 734-6040
Fax
(307) 460-7343
Organisation at this address
Teton Behavior Therapy
Inferred from a shared address, not stated in the registry.
Clinicians at this address
20

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101YM0800X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-19

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 Wyoming