Provider Demographics
NPI:1912552266
Name:HILL, KARMA R (IP)
Entity Type:Individual
Prefix:MRS
First Name:KARMA
Middle Name:R
Last Name:HILL
Suffix:
Gender:F
Credentials:IP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5180 N MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83704-2311
Mailing Address - Country:US
Mailing Address - Phone:208-703-2637
Mailing Address - Fax:
Practice Address - Street 1:5180 N MOUNTAIN VIEW DR
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83704-2311
Practice Address - Country:US
Practice Address - Phone:208-703-2637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-05
Last Update Date:2019-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst