Lonell Woodhouse, IS

NPI #1043970114 in Pocatello, Idaho

Provider Information

NPI Number
1043970114
Entity Type
Individual
Name
Lonell Woodhouse, IS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Credential
IS
Enumeration Date
Dec 30, 2021
Last Updated
Dec 30, 2021

Practice Location

Address
106 MOUNTAIN DR
State
Idaho
ZIP Code
83204-4723
Phone
(562) 731-9705

Specialties & Taxonomy Codes

Specialty
Behavior Technician
Behavior Analyst

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