Desiree Irma Mascorro

NPI #1114716859 in Nampa, Idaho

Provider Information

NPI Number: 1114716859
Entity Type: Individual
Name: Desiree Irma Mascorro
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 30, 2025
Last Updated: Apr 30, 2025

Practice Location

Address: 220 W GEORGIA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-2835
Phone: (208) 741-6124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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