MS. Shelly Rae Humphreys

NPI #1467113423 in Soda Springs, Idaho

Provider Information

NPI Number: 1467113423
Entity Type: Individual
Name: MS. Shelly Rae Humphreys
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Jan 3, 2022
Last Updated: Jan 3, 2022

Practice Location

Address: 331 S MAIN ST
City: Soda Springs
State: Idaho
ZIP Code: 83276-1629
Phone: (208) 530-0326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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