Search › Idaho › 101YA0400X
Deondre Bryant, ICADC, SAP
NPI 1467328757 · on the registry since 2025
Practice
- Address
- 3287 N Maple Grove Rd
Boise, ID 83704 - Phone
- (208) 350-0581
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho