Provider Demographics
NPI:1841917044
Name:BEYA, THIERRY (BS)
Entity type:Individual
Prefix:
First Name:THIERRY
Middle Name:
Last Name:BEYA
Suffix:
Gender:M
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7554 E IROQUOIS ST
Mailing Address - Street 2:
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83687-4507
Mailing Address - Country:US
Mailing Address - Phone:520-501-2152
Mailing Address - Fax:
Practice Address - Street 1:7554 E IROQUOIS ST
Practice Address - Street 2:
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83687-4507
Practice Address - Country:US
Practice Address - Phone:520-501-2152
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-27
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician