Friday, Luci Renee

Friday, Luci Renee is an sole proprietor health care provider with primary practice located at 9 Rustler Cir , Boise ID 83716-3458. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Friday, Luci Renee can be contacted via phone (208) 901-2880.

Contact Information

Primary practice address
9 Rustler Cir Boise ID 83716-3458
Phone: (208) 901-2880
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1730728080
LBN Legal business name Friday, Luci Renee
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2020
Last updated Jan 3rd, 2020 - about 4 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1730728080 NPPES
Idaho MEDICAID 193440012

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