Alexandra Kyla Evans

NPI #1033833124 in Boise, Idaho

Provider Information

NPI Number: 1033833124
Entity Type: Individual
Name: Alexandra Kyla Evans
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Oct 3, 2022
Last Updated: Oct 3, 2022

Practice Location

Address: 8474 W LIMELIGHT ST APT 306
City: Boise
State: Idaho
ZIP Code: 83714-6189
Phone: (570) 445-0248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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