MISS Kaja Madison Korenke, IS

NPI #1134852288 in Shelley, Idaho

Provider Information

NPI Number
1134852288
Entity Type
Individual
Name
MISS Kaja Madison Korenke, IS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
IS
Enumeration Date
Jul 6, 2022
Last Updated
Jul 6, 2022

Practice Location

Address
420 CARDINAL DR
State
Idaho
ZIP Code
83274-4925
Phone
(208) 918-9991

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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