Eliza Detemple
Eliza Detemple is a Behavior Technician in Rexburg, Idaho. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
859 S Yellowstone Hwy Ste 202Rexburg, ID 83440-5294
Phone: (307) 257-5487
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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 | 1699540393 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 22, 2023 |
| Last updated in NPPES | November 22, 2023 |
| Certification date | November 17, 2023 |
| Mailing address | P.O. Box 20310, Unit #55984, Cheyenne, WY 82003-7007 |
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859 S Yellowstone Hwy Ste 202, Rexburg, ID 83440-5294 · (307) 257-5487