K2 Fmily Partnership
NPI #1306357439 in Hayden Lake, Idaho
Provider Information
- NPI Number
- 1306357439
- Entity Type
- Organization
- Organization Name
- K2 Fmily Partnership
- Primary Specialty
- Behavior Analyst
- Enumeration Date
- Oct 16, 2017
- Last Updated
- Oct 16, 2017
Practice Location
- Address
- 5723 E DODD RD
- City
- Hayden Lake
- State
- Idaho
- ZIP Code
- 83835-9376
- Phone
- (208) 699-1704
Authorized Official
- Name
- KATHERINE WACHOLZ
- Title
- CLINICAL SUPERVISOR
- Phone
- (208) 699-1704
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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