Travis Bingman

NPI #1679195549 in Lewiston, Idaho

Provider Information

NPI Number
1679195549
Entity Type
Individual
Name
Travis Bingman
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
May 13, 2020
Last Updated
Jul 17, 2020

Practice Location

Address
909 BURRELL AVE
State
Idaho
ZIP Code
83501-4912
Phone
(208) 790-5269

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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