MS. DESIREE SELF, MS

Behavior Technician

Active Individual
NPI: 1528630357

Practice Address

244 S SILVERWOOD WAY
Eagle, ID 83616

Phone: (440) 228-7161

Specialties

Specialty Code Primary License
Behavior Technician 106S00000X Yes -

Frequently Asked Questions

NPI 1528630357 is the National Provider Identifier for MS. DESIREE SELF, MS, a Behavior Technician provider located in Eagle, ID. This NPI was enumerated on July 12, 2021.
MS. DESIREE SELF, MS practices at 244 S SILVERWOOD WAY, Eagle, ID 83616.

Quick Facts

NPI
1528630357
Type
Individual
Enumerated
Jul 12, 2021
Last Updated
Jul 12, 2021

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