Individual
SHELBIE LEANNE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS, IS
Contact information
Practice address
8320 W MARCUM ST, BOISE, ID 83704-5732
(208) 869-0817
Mailing address
8320 W MARCUM ST, BOISE, ID 83704-5732
(208) 869-0817
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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