Tyne Shaddix

NPI #1700610086 in Yorkville, Illinois

Provider Information

NPI Number: 1700610086
Entity Type: Individual
Name: Tyne Shaddix
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Aug 28, 2024
Last Updated: Aug 28, 2024

Practice Location

Address: 1431 CANNONBALL TRAIL
City: Yorkville
State: Illinois
ZIP Code: 60560
Phone: (630) 945-1841

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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