Cooper Baumgardt

NPI #1740150234 in Lewiston, Idaho

Provider Information

NPI Number
1740150234
Entity Type
Individual
Name
Cooper Baumgardt
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Nov 10, 2025
Last Updated
Dec 29, 2025

Practice Location

Address
419 22ND AVE
State
Idaho
ZIP Code
83501-3812
Phone
(208) 816-6078

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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