Shannon Renee Welch

NPI #1114570892 in Caldwell, Idaho

Provider Information

NPI Number: 1114570892
Entity Type: Individual
Name: Shannon Renee Welch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jul 22, 2019
Last Updated: Jul 22, 2019

Practice Location

Address: 19802 WILDERNESS DR
City: Caldwell
State: Idaho
ZIP Code: 83605-8078
Phone: (208) 922-8348

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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