Amatangelo, Braxton Jaiden
Amatangelo, Braxton Jaiden is an individual health care provider with primary practice located at 1087 E Park Blvd Suite 100 , Boise ID 83712. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Amatangelo, Braxton Jaiden can be contacted via phone (986) 888-7008.Contact Information
Primary practice address
1087 E Park Blvd Suite 100
Boise ID 83712
Phone: (986) 888-7008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1689413056 |
|---|---|
| LBN Legal business name | Amatangelo, Braxton Jaiden |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2024 |
| Last updated | May 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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