Individual
DARBY SHADWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26783 DEB LN, PARMA, ID 83660-7275
(208) 697-2420
Mailing address
1305 S KIMBALL AVE, CALDWELL, ID 83605-4542
(208) 459-1039
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
ID
171M00000X
Case Manager/Care Coordinator
—
ID
172V00000X
Community Health Worker
—
ID
Other
Enumeration date
06/20/2022
Last updated
02/23/2026
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