Kimberly M Roller

NPI #1629616172 in Emmett, Idaho

Provider Information

NPI Number: 1629616172
Entity Type: Individual
Name: Kimberly M Roller
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Dec 16, 2019
Last Updated: Dec 16, 2019

Practice Location

Address: 2222 SCHILLER RD
City: Emmett
State: Idaho
ZIP Code: 83617-9747
Phone: (360) 990-1483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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