Kyra Jean Shepherd

NPI #1316575525 in Baxter, Minnesota

Provider Information

NPI Number
1316575525
Entity Type
Individual
Name
Kyra Jean Shepherd
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Apr 1, 2020
Last Updated
Apr 1, 2020

Practice Location

Address
14387 EDGEWOOD DR
City
Baxter
ZIP Code
56425-8460
Phone
(218) 454-5181

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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