Krista Richelle Roberts

NPI #1114700168 in Boise, Idaho

Provider Information

NPI Number: 1114700168
Entity Type: Individual
Name: Krista Richelle Roberts
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 15, 2023
Last Updated: Aug 15, 2023

Practice Location

Address: 1087 E PARK BLVD
City: Boise
State: Idaho
ZIP Code: 83712
Phone: (208) 589-2491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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