Darby Alison Ottinger
Behavior Technician in Boise, ID. Individual provider (NPI-1).
NPI number1205452000
StatusActive
Last updated in NPPESJun 18, 2020
Details
- NPI
- 1205452000
- Entity type
- Individual (NPI-1)
- Name
- Darby Alison Ottinger
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2020
- Certification date
- Jun 18, 2020
- Last updated
- Jun 18, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
12553 W Explorer Dr Ste 190Boise, ID 83713-1612
Phone 208-972-5254
Mailing address
635 E Sicily DrMeridian, ID 83642-5263
Phone 208-573-5349
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