Mikaya Dawson
Individual provider Active NPI Behavior Technician · Boise, ID
NPI 1336099183 · NPPES record last updated Jan 31, 2026
Key facts
- NPI
- 1336099183
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 1087 E Park Blvd Ste 100
Boise, ID 83712-7722 - Phone
- (208) 369-9168
- NPI assigned
- Jan 31, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | ID | Yes |
Addresses
Primary practice location
1087 E Park Blvd Ste 100
Boise, ID 83712-7722
Mailing address
1900 N Eldorado St
Boise, ID 83704-7407
Phone (208) 369-9168
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.