MRS. Tyler Rowberry Moulton, BSBI

NPI #1861016339 in Shelley, Idaho

Provider Information

NPI Number
1861016339
Entity Type
Individual
Name
MRS. Tyler Rowberry Moulton, BSBI
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
BSBI
Enumeration Date
Jun 1, 2020
Last Updated
Jun 1, 2020

Practice Location

Address
420 CARDINAL DR
State
Idaho
ZIP Code
83274-4925
Phone
(208) 360-4210

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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