Cheri Jo Larsen

NPI #1780320705 in Ammon, Idaho

Provider Information

NPI Number: 1780320705
Entity Type: Individual
Name: Cheri Jo Larsen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: May 11, 2022
Last Updated: May 11, 2022

Practice Location

Address: 3868 WILLOW RIDGE DR
City: Ammon
State: Idaho
ZIP Code: 83406-5079
Phone: (929) 928-1920

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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