Viktoriya Lichtenberg

NPI #1649848136 in Shelley, Idaho

Provider Information

NPI Number
1649848136
Entity Type
Individual
Name
Viktoriya Lichtenberg
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jun 11, 2021
Last Updated
Jun 11, 2021

Practice Location

Address
369 S HOLMES AVE
State
Idaho
ZIP Code
83274-1325
Phone
(208) 390-2305

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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