Jackie Legg

NPI #1386497097 in Emmett, Idaho

Provider Information

NPI Number: 1386497097
Entity Type: Individual
Name: Jackie Legg
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Apr 10, 2024
Last Updated: Apr 10, 2024

Practice Location

Address: PO BOX 1063
City: Emmett
State: Idaho
ZIP Code: 83617-1063
Phone: (208) 985-8502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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