Lacey Justine Jarvis

NPI #1811749278 in Nampa, Idaho

Provider Information

NPI Number: 1811749278
Entity Type: Individual
Name: Lacey Justine Jarvis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 1, 2024
Last Updated: Apr 1, 2024

Practice Location

Address: 220 W GEORGIA AVE
City: Nampa
State: Idaho
ZIP Code: 83686-2835
Phone: (208) 960-7474

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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