Scott Bradley Youngblood

NPI #1063221216 in Boise, Idaho

Provider Information

NPI Number: 1063221216
Entity Type: Individual
Name: Scott Bradley Youngblood
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 1087 E PARK BLVD
Address 2: SUITE 100
City: Boise
State: Idaho
ZIP Code: 83712
Phone: (208) 584-6130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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