IndividualActive
Allison Stafford
NPI 1013844158 · Behavior Technician · Eagle, ID
Provider details
- NPI number
- 1013844158
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 26-521424
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
738 S Bridgeway Pl Ste 150
Eagle, ID 83616-6953
Phone: (888) 392-8642
Approximate (ZIP-level) locationGet directions
Mailing address
738 S Bridgeway Pl Ste 150
Eagle, ID 83616-6953
Registry dates
- Enumerated
- 2026-05-05
- Last updated
- 2026-05-05
- Certified
- 2026-05-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.