Organization · Type 2 NPI

East Idaho Youth Homes LLC Dda

Developmental Disabilities Clinic/Center · Ammon, ID

NPI number 1316648546 Active

Practice location

983 Curlew Dr
Ammon, ID 83406-4706

Mailing address

550 Linden Dr
Idaho Falls, ID 83401-4149

Other practice locations

  • 1061 Curlew Dr, Ammon, ID 83406-4766 · (208) 360-8102

Specialties and licenses

TaxonomyCodeLicense
Behavior Analyst 103K00000XNone listed
Assistant Behavior Analyst 106E00000XNone listed
Behavior Technician 106S00000XNone listed
Developmental Disabilities Clinic/Center Primary 261QD1600XNone listed

Developmental Disabilities Clinic/Center: An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).

About NPI 1316648546

East Idaho Youth Homes LLC Dda's National Provider Identifier is 1316648546, issued on Mar 14, 2023. The primary taxonomy on file is Developmental Disabilities Clinic/Center (261QD1600X), and the practice location is in Ammon, ID. The record was last updated on Mar 14, 2023.