Katherine Renee Wade, MASTERS

NPI #1346989480 in Nampa, Idaho

Provider Information

NPI Number: 1346989480
Entity Type: Individual
Name: Katherine Renee Wade, MASTERS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: MASTERS
Enumeration Date: May 27, 2022
Last Updated: May 27, 2022

Practice Location

Address: 816 9TH AVE S
City: Nampa
State: Idaho
ZIP Code: 83651-4542
Phone: (208) 830-3897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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