Georgette Bisoka

NPI #1548929706 in Caldwell, Idaho

Provider Information

NPI Number: 1548929706
Entity Type: Individual
Name: Georgette Bisoka
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Dec 14, 2021
Last Updated: Dec 14, 2021

Practice Location

Address: 15353 HOGBACK WAY
City: Caldwell
State: Idaho
ZIP Code: 83607-5786
Phone: (208) 794-6652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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