MEDICARE: TIANNA LYNN KLAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106E00000X	Assistant Behavior Analyst		ID

General Provider Information

NPI Number	:	1285203679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIANNA LYNN KLAY

Provider Business Mailing Address
First Line	:	1961 W FRANKLIN RD UNIT H202
Second Line	:
City	:	MERIDIAN
State	:	ID
Zip	:	83642-5455
Country	:	US
Telephone Number	:	208-370-9617
Fax Number	:

Provider Business Practice Location Address
First Line	:	220 W GEORGIA AVE
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2835
Country	:	US
Telephone Number	:	208-960-7475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2021
Last Update Date	:	02/03/2026

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Directions to “ TIANNA LYNN KLAY ” Practice Location

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