Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Desiree Ann Self, MS

Individual provider Behavior Technician · NPI 1528630357

MS. Desiree Ann Self, MS is a Behavior Technician in Eagle, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2021
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

244 S Silverwood Way
Eagle, ID 83616-6165
Phone: (440) 228-7161
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ID)

Record details

NPI number1528630357
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorYes
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address244 S Silverwood Way, Eagle, ID 83616-6165

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