Gracie Ann Mingo

NPI #1326754037 in Nampa, Idaho

Provider Information

NPI Number: 1326754037
Entity Type: Individual
Name: Gracie Ann Mingo
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 26, 2023
Last Updated: Jan 26, 2023

Practice Location

Address: 220 W GEORGIA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-2835
Phone: (425) 368-3262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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