IndividualActive
Angela Rockwood
NPI 1891561189 · Behavior Technician · Idaho Falls, ID
Provider details
- NPI number
- 1891561189
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LSW-28561 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3857 Deer Run Dr
Idaho Falls, ID 83401-6801
Phone: (208) 520-5086
Approximate (ZIP-level) locationGet directions
Mailing address
3857 Deer Run Dr
Idaho Falls, ID 83401-6801
Registry dates
- Enumerated
- 2023-11-28
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.