Krista Profit

NPI #1497394506 in Shoshone, Idaho

Provider Information

NPI Number: 1497394506
Entity Type: Individual
Name: Krista Profit
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 6, 2020
Last Updated: Jan 6, 2020

Practice Location

Address: 609 E 5TH ST
City: Shoshone
State: Idaho
ZIP Code: 83352-5191
Phone: (971) 678-7865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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