Id Behavioral Health, Pllc
NPI #1548145162 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1548145162
- Entity Type
- Organization
- Organization Name
- Id Behavioral Health, Pllc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 11, 2025
- Last Updated
- Feb 3, 2026
Practice Location
- Address
- 150 N WOODRUFF AVE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-4335
- Phone
- (208) 557-3255
Authorized Official
- Name
- TYLER JORDAN POND, PA-C
- Title
- OWNER/CLINICIAN
- Phone
- (208) 557-3255
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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