MRS. Michelle Marie Parks

NPI #1205792538 in Rathdrum, Idaho

Provider Information

NPI Number: 1205792538
Entity Type: Individual
Name: MRS. Michelle Marie Parks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 30, 2025
Last Updated: Dec 30, 2025

Practice Location

Address: 1456 W LONGHORN ST
City: Rathdrum
State: Idaho
ZIP Code: 83858-7938
Phone: (208) 704-5856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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