IndividualActive
Aeneas Stailey, RBT
NPI 1619748266 · Behavior Technician · Boise, ID
Provider details
- NPI number
- 1619748266
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Credential
- RBT
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1115 S Wilson St
Boise, ID 83705-5841
Phone: (505) 313-6415
Approximate (ZIP-level) locationGet directions
Mailing address
1115 S Wilson St
Boise, ID 83705-5841
Registry dates
- Enumerated
- 2024-01-12
- Last updated
- 2024-01-12
- Certified
- 2024-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.