MRS. Jacqueline M Aldrich, BSW, BI

NPI #1679193759 in Lewiston, Idaho

Provider Information

NPI Number: 1679193759
Entity Type: Individual
Name: MRS. Jacqueline M Aldrich, BSW, BI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BSW, BI
Enumeration Date: Apr 20, 2020
Last Updated: Apr 20, 2020

Practice Location

Address: 3407 12TH STREET C
Address 2: 3407 12TH STREET C
City: Lewiston
State: Idaho
ZIP Code: 83501
Phone: (208) 790-0132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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