Craig Moulton Valid NPI
Individual provider · Behavior Technician · Shelley, ID
- NPI
- 1346838729
- Type
- Individual (Type 1)
- Primary specialty
- Behavior Technician
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106S00000X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2021-01-01
- Last updated
- 2021-01-01
Practice location
420 Cardinal Dr
Shelley, ID 83274-4925
(208) 243-4331