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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

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