Desiree Ann Self, MS
Behavior Technician · Eagle, ID
NPI number
1528630357
Practice location
244 S Silverwood WayEagle, ID 83616-6165
- Phone
- (440) 228-7161
NPI record
- NPI
- 1528630357
- Entity type
- Individual (Type 1)
- Enumeration date
- July 12, 2021
- Last updated
- July 12, 2021
- Certified
- July 12, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Behavior Technician Primary | 106S00000X |
— | ID |
About Desiree Self
Desiree Ann Self, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 244 S Silverwood Way, Eagle, ID 83616-6165. The NPI number 1528630357 was assigned on July 12, 2021 and the record was last updated on July 12, 2021.
Frequently asked questions
What is the NPI number of Desiree Ann Self, MS?
The NPI number is 1528630357.
What is the phone number of Desiree Self?
The phone number listed for the practice location is (440) 228-7161.
Where is Desiree Self located?
244 S Silverwood Way, Eagle, ID 83616-6165.
What is the taxonomy code for Desiree Self?
The primary taxonomy code is 106S00000X – Behavior Technician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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