Malynn Parks

NPI #1891500153 in Eagle, Idaho

Provider Information

NPI Number: 1891500153
Entity Type: Individual
Name: Malynn Parks
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 12, 2025
Last Updated: Feb 12, 2025

Practice Location

Address: 449 S FITNESS PL
City: Eagle
State: Idaho
ZIP Code: 83616-6828
Phone: (208) 957-6301

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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