Alisha D Staten
Alisha D Staten is a Developmental Therapist in Idaho Falls, Idaho. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
4121 N Livingston AveIdaho Falls, ID 83401-1666
Phone: (307) 203-9028
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Specialties & licences
| Developmental Therapist (primary) | Taxonomy 222Q00000X |
|---|
Record details
| NPI number | 1336956697 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | December 11, 2024 |
| Last updated in NPPES | September 29, 2025 |
| Certification date | September 29, 2025 |
| Mailing address | 4121 N Livingston Ave, Idaho Falls, ID 83401-1666 |
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