Craig Moulton

NPI #1346838729 in Shelley, Idaho

Provider Information

NPI Number
1346838729
Entity Type
Individual
Name
Craig Moulton
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
Jan 1, 2021
Last Updated
Jan 1, 2021

Practice Location

Address
420 CARDINAL DR
State
Idaho
ZIP Code
83274-4925
Phone
(208) 243-4331

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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