Darby Shadwick

NPI #1588395768 in Parma, Idaho

Provider Information

NPI Number: 1588395768
Entity Type: Individual
Name: Darby Shadwick
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jun 20, 2022
Last Updated: Jun 20, 2022

Practice Location

Address: 26783 DEB LN
City: Parma
State: Idaho
ZIP Code: 83660-7275
Phone: (208) 697-2420

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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