Buitron Behavioral Health, LLC
Behavior Technician in Meridian, ID. Organization (NPI-2).
NPI number1043087828
StatusActive
Last updated in NPPESDec 11, 2023
Details
- NPI
- 1043087828
- Entity type
- Organization (NPI-2)
- Legal business name
- Buitron Behavioral Health, LLC
- Organization subpart
- No
- Enumeration date
- Dec 11, 2023
- Certification date
- Dec 11, 2023
- Last updated
- Dec 11, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 251S00000X | Community/Behavioral Health | – | – | |
| 103K00000X | Behavior Analyst | – | – |
Practice location
6669 N Exeter Ln Apt 103Meridian, ID 83646-1582
Phone 951-392-0237
Mailing address
Po Box 1658Meridian, ID 83680-1658
Phone 951-392-0237
Authorized official
Vanessa Ruby Fuentes
Owner
9513920237
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