Amanda Rae Guilmette, IS

NPI #1053164053 in Nampa, Idaho

Provider Information

NPI Number: 1053164053
Entity Type: Individual
Name: Amanda Rae Guilmette, IS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: IS
Enumeration Date: Apr 9, 2024
Last Updated: Apr 9, 2024

Practice Location

Address: 520 LAKE LOWELL AVE
City: Nampa
State: Idaho
ZIP Code: 83686-6619
Phone: (208) 519-2278

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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