Butler, Marisela

Butler, Marisela is an sole proprietor health care provider with primary practice located at 2128 W 4700 S , Rexburg ID 83440-4311. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Butler, Marisela can be contacted via phone (208) 604-7118.

Contact Information

Primary practice address
2128 W 4700 S Rexburg ID 83440-4311
Phone: (208) 604-7118
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Idaho

Profile Details

NPI number 1720628712
LBN Legal business name Butler, Marisela
Credentials BI
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2020
Last updated Jan 9th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers