Cyndy Eldredge Radovich, MMA
Behavior Technician in Meridian, ID. Individual provider (NPI-1).
NPI number1255983003
StatusActive
Last updated in NPPESJul 11, 2019
Details
- NPI
- 1255983003
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Cyndy Eldredge Radovich
- Credential
- MMA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2019
- Last updated
- Jul 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
917 N Main StMeridian, ID 83642-2301
Phone 208-409-1785
Mailing address
8008 W Wesley DrBoise, ID 83704-7160
Phone 208-409-1785
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