Nicholas Bonfrisco Valid NPI
Individual provider · Behavior Technician · Eagle, ID
- NPI
- 1609561646
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2023-04-06
- Last updated
- 2023-04-06
Practice location
738 S Bridgeway Pl Ste 150
Eagle, ID 83616-6953
(888) 392-8642