Juanita Shult

NPI #1306434261 in Gallup, New Mexico

Provider Information

NPI Number: 1306434261
Entity Type: Individual
Name: Juanita Shult
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jan 6, 2021
Last Updated: Sep 24, 2025

Practice Location

Address: 950 W AZTEC AVE
City: Gallup
State: New Mexico
ZIP Code: 87301-6666
Phone: (866) 273-2451

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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