Individual provider · Type 1 NPI

Alisha D. Staten

Developmental Therapist · Idaho Falls, ID

NPI number 1336956697 Active

Practice location

4121 N Livingston Ave
Idaho Falls, ID 83401-1666

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1336956697

Alisha D. Staten's National Provider Identifier is 1336956697, issued on Dec 11, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Sep 29, 2025.