Mackara Lynn Rose Sebastian

NPI #1457166746 in Post Falls, Idaho

Provider Information

NPI Number: 1457166746
Entity Type: Individual
Name: Mackara Lynn Rose Sebastian
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 1616 E SELTICE WAY
City: Post Falls
State: Idaho
ZIP Code: 83854-7007
Phone: (208) 719-7158

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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