Jaclyn Rose Beale

NPI #1063133825 in Meridian, Idaho

Provider Information

NPI Number: 1063133825
Entity Type: Individual
Name: Jaclyn Rose Beale
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Sep 8, 2022
Last Updated: Oct 16, 2022

Practice Location

Address: 1905 S TOPAZ WAY STE 100
City: Meridian
State: Idaho
ZIP Code: 83642-4477
Phone: (208) 518-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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