Faith Marion Broughton

NPI #1194445908 in Post Falls, Idaho

Provider Information

NPI Number: 1194445908
Entity Type: Individual
Name: Faith Marion Broughton
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 31, 2022
Last Updated: Aug 31, 2022

Practice Location

Address: 1592 N GEMSTONE PL
City: Post Falls
State: Idaho
ZIP Code: 83854-5469
Phone: (208) 964-5592

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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