Provider Demographics
NPI:1609482405
Name:NEIGHBORS, MARIA K (MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:K
Last Name:NEIGHBORS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6618 N SWAINSON LN
Mailing Address - Street 2:
Mailing Address - City:COEUR D ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83815-5110
Mailing Address - Country:US
Mailing Address - Phone:208-699-7898
Mailing Address - Fax:
Practice Address - Street 1:6618 N SWAINSON LN
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83815-5110
Practice Address - Country:US
Practice Address - Phone:208-699-7898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-17
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician