Individual
KYLIE LEE SCHROEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 DOVER ST, WELLS, NV 89835-0301
(208) 530-2180
Mailing address
2519 HIGHWAY 39, AMERICAN FALLS, ID 83211-5162
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
0191
NV
106S00000X
Behavior Technician
—
NV
Other
Enumeration date
12/10/2018
Last updated
01/30/2020
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