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East Idaho Youth Homes LLC Dda — NPI 1316648546, Ammon, ID | NPI Central

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NPI 1316648546

OrganizationActive

East Idaho Youth Homes LLC Dda

NPI 1316648546 · Developmental Disabilities Clinic/Center · Ammon, ID

Provider details

NPI number: 1316648546
Entity type: Organization
Primary specialty: Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
Parent organization: East Idaho Youth Homes LLC
Organization subpart: Yes
Authorized official: Karen Tornkvist, Chief Administrator(208) 360-8102

Specialties & taxonomies

Developmental Disabilities Clinic/CenterPrimary261QD1600X
Ambulatory Health Care Facilities
Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Behavior Technician106S00000X
Behavioral Health & Social Service Providers

Practice location

983 Curlew Dr

Ammon, ID 83406-4706

Phone: (208) 881-9100

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

550 Linden Dr

Idaho Falls, ID 83401-4149

Additional practice locations (1)

1061 Curlew Dr
Ammon, ID 83406-4766
Phone: (208) 360-8102

Registry dates

Enumerated: 2023-03-14
Last updated: 2023-03-14
Certified: 2023-03-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.