Individual provider · Type 1 NPI
Tiahna E. Fairbanks, BA
Developmental Therapist · Mountain Home, ID
Practice location
2420 American Legion Blvd
Mountain Home, ID 83647-3146
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmental Therapist Primary | 222Q00000X | None 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…
4 other providers at this address
- Idaho Behavioral Health, Inc.Family Medicine Physician Mountain Home, ID NPI 1053658138
- Idaho Dept of Health & Welfare Amh Clinic MHAdult Mental Health Clinic/Center Mountain Home, ID NPI 1760512644
- Idaho Dept of Health & Welfare Amh PSR MT HomeMental Health Clinic/Center (Including Community Mental Health Center) Mountain Home, ID NPI 1720118904
- Jaysa Marie Pilant, LMSWClinical Social Worker Mountain Home, ID NPI 1013425487
About NPI 1407217987
Tiahna E. Fairbanks, BA's National Provider Identifier is 1407217987, issued on Mar 11, 2016. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Mountain Home, ID. The record was last updated on Mar 11, 2016.