Rebecca Larsen

NPI #1538711940 in Caldwell, Idaho

Provider Information

NPI Number: 1538711940
Entity Type: Individual
Name: Rebecca Larsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 15, 2019
Last Updated: Jul 15, 2019

Practice Location

Address: 908 GRAYCLIFF DR
City: Caldwell
State: Idaho
ZIP Code: 83607-1882
Phone: (435) 720-2472

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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