MRS. Michelle Lynn Weddle

NPI #1194372888 in Kamiah, Idaho

Provider Information

NPI Number: 1194372888
Entity Type: Individual
Name: MRS. Michelle Lynn Weddle
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Aug 19, 2019
Last Updated: Aug 19, 2019

Practice Location

Address: 719 12TH ST
City: Kamiah
State: Idaho
ZIP Code: 83536-5325
Phone: (208) 790-3014

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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