Charlene Ricard, BI

NPI #1548806201 in Lewiston, Idaho

Provider Information

NPI Number
1548806201
Entity Type
Individual
Name
Charlene Ricard, BI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
BI
Enumeration Date
Nov 18, 2019
Last Updated
Jan 12, 2020

Practice Location

Address
1215 BRYDEN AVE
State
Idaho
ZIP Code
83501-5348
Phone
(208) 553-8650

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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