Katherine Wacholz

NPI #1366079733 in Hayden, Idaho

Provider Information

NPI Number: 1366079733
Entity Type: Individual
Name: Katherine Wacholz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Enumeration Date: Mar 25, 2020
Last Updated: Mar 25, 2020

Practice Location

Address: 5723 E DODD RD
City: Hayden
State: Idaho
ZIP Code: 83835-9376
Phone: (208) 699-1704

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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