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Individual

MR. SHAWN CAMERON ATWOOD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MASTERS OF EDUCATION

Contact information

Practice address
1820 E 17TH ST STE 330, IDAHO FALLS, ID 83404-6400
(208) 497-0685
Mailing address
1820 E 17TH ST STE 355, IDAHO FALLS, ID 83404-6453
(208) 497-0685

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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