Individual provider · Type 1 NPI
Angela Jade Griffin
Developmental Therapist · Chubbuck, ID
Practice location
5290 Diamond Cir Apt 2
Chubbuck, ID 83202-2181
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…
About NPI 1649010810
Angela Jade Griffin's National Provider Identifier is 1649010810, issued on May 27, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chubbuck, ID. The record was last updated on May 27, 2024.