Stephanie Mae Kenyon

NPI #1144936097 in Boise, Idaho

Provider Information

NPI Number: 1144936097
Entity Type: Individual
Name: Stephanie Mae Kenyon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 24, 2023
Last Updated: Jan 24, 2023

Practice Location

Address: 8441 W CASCADE LN
City: Boise
State: Idaho
ZIP Code: 83704-8312
Phone: (909) 763-8865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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