Shane Waldhoff

NPI #1063399855 in Champaign, Illinois

Provider Information

NPI Number: 1063399855
Entity Type: Individual
Name: Shane Waldhoff
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 21, 2025
Last Updated: Aug 21, 2025

Practice Location

Address: 2301 W BRADLEY AVE # 574
City: Champaign
State: Illinois
ZIP Code: 61821-1849
Phone: (574) 387-4313

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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