Individual
HAYDEN SHULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
Mailing address
1607 LINCOLN WAY, COEUR D ALENE, ID 83814-2462
(208) 500-0567
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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