Sheila M Mack

NPI #1417797747 in Hayden, Idaho

Provider Information

NPI Number
1417797747
Entity Type
Individual
Name
Sheila M Mack
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Behavior Technician
Enumeration Date
May 24, 2024
Last Updated
May 24, 2024

Practice Location

Address
827 W PRAIRIE AVE
City
Hayden
State
Idaho
ZIP Code
83835-8459
Phone
(208) 719-7158

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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