Healthcare Provider Details

I. General information

NPI: 1497330930
Provider Name (Legal Business Name): IRIS STEPHANY FLORES M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRIS MOSQUEDA FRANCO RBT

II. Dates (important events)

Enumeration Date: 03/16/2021
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

738 S BRIDGEWAY PL STE 150
EAGLE ID
83616-6953
US

IV. Provider business mailing address

4101 S MINUTEMAN WAY
BOISE ID
83706-5837
US

V. Phone/Fax

Practice location:
  • Phone: 888-392-8642
  • Fax:
Mailing address:
  • Phone: 424-310-7471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License NumberBCBA1-26-2827046
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-19-83600
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code106E00000X
TaxonomyAssistant Behavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: