NPI: 1811464738 · IDAHO FALLS, ID 83402 · Local Education Agency (LEA) · NPI assigned 10/29/2018
| Authorized Official | BLACKBURN, CELESTE (PROGRAM DIRECTOR) |
| NPI Enumeration Date | 10/29/2018 |
Other providers sharing the same authorized official: BLACKBURN, CELESTE
| Provider | City | State | Total Paid |
|---|---|---|---|
| BLACKFOOT CHARTER COMMUNITY LEARNING CENTER | BLACKFOOT | ID | $6K |
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 36 | $985.50 |
| 2022 | 353 | $8K |
| 2023 | 212 | $4K |
| Code | Description | Claims | Bene. Records | Total Paid |
|---|---|---|---|---|
| 92507 | Treatment of speech, language, voice, communication, and/or auditory processing disorder | 601 | 215 | $13K |