Juarez, Maria Crisselda

Juarez, Maria Crisselda is an sole proprietor health care provider with primary practice located at 11859 W Crested Butte Ct , Nampa ID 83651-8164. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Juarez, Maria Crisselda can be contacted via phone (208) 957-3294.

Contact Information

Primary practice address
11859 W Crested Butte Ct Nampa ID 83651-8164
Phone: (208) 957-3294
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1497352033
LBN Legal business name Juarez, Maria Crisselda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 7th, 2020
Last updated Oct 7th, 2020 - about 5 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 1497352033 NPPES
Idaho MEDICAID 106S00000X

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