Braxton Jaiden Amatangelo
Braxton Jaiden Amatangelo is a Behavior Technician in Boise, Idaho. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
1087 E Park Blvd Ste 100Boise, ID 83712
Phone: (986) 888-7008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1689413056 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 23, 2024 |
| Last updated in NPPES | May 23, 2024 |
| Certification date | May 17, 2024 |
| Mailing address | 1937 N Madderlake Pl Apt 3, Kuna, ID 83634-1629 |
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