Susannah Paige Heist

NPI #1073186672 in Boise, Idaho

Provider Information

NPI Number: 1073186672
Entity Type: Individual
Name: Susannah Paige Heist
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 21, 2021
Last Updated: Aug 3, 2021

Practice Location

Address: 3622 W ROSE HILL ST APT 203
City: Boise
State: Idaho
ZIP Code: 83705-5180
Phone: (208) 908-2450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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