Savannah Boman

NPI #1811782618 in Emmett, Idaho

Provider Information

NPI Number: 1811782618
Entity Type: Individual
Name: Savannah Boman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Apr 11, 2025
Last Updated: Apr 11, 2025

Practice Location

Address: 788 OLD GLORY WAY
City: Emmett
State: Idaho
ZIP Code: 83617-5020
Phone: (626) 428-7853

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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