Crt Children Services LLC

NPI #1740835834 in Moscow, Idaho

Provider Information

NPI Number: 1740835834
Entity Type: Organization
Organization Name: Crt Children Services LLC
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 6, 2019
Last Updated: Sep 15, 2021

Practice Location

Address: 212 RODEO DR STE 510
City: Moscow
State: Idaho
ZIP Code: 83843-9795
Phone: (208) 874-8002

Authorized Official

Name: CALVIN ROGER STOWE
Title: ADMINISTRATOR
Phone: (208) 340-2370

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assistant Behavior Analyst	106E00000X
Behavior Technician	106S00000X
Behavior Analyst	103K00000X	Primary

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