Nashlyn Grace Vidricksen

NPI #1083350482 in Russell, Kansas

Provider Information

NPI Number: 1083350482
Entity Type: Individual
Name: Nashlyn Grace Vidricksen
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 9, 2022
Last Updated: May 9, 2022

Practice Location

Address: 971 E WICHITA AVE
City: Russell
State: Kansas
ZIP Code: 67665-2444
Phone: (316) 400-3535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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