Marisela Butler, BI

NPI #1720628712 in Rexburg, Idaho

Provider Information

NPI Number: 1720628712
Entity Type: Individual
Name: Marisela Butler, BI
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Credential: BI
Enumeration Date: Jan 8, 2020
Last Updated: Jan 9, 2020

Practice Location

Address: 2128 W 4700 S
City: Rexburg
State: Idaho
ZIP Code: 83440-4311
Phone: (208) 604-7118

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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