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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. SHELLY RAE HUMPHREYS

Active Sole Proprietor

MS. SHELLY RAE HUMPHREYS is a Behavior Technician healthcare provider located in SODA SPRINGS, Idaho. NPI 1467113423 is currently active in the NPPES registry. Verify at CMS.

Behavior Technician · SODA SPRINGS, ID

Registration Details

NPI Number
1467113423
Provider Type
Individual
Gender
Female
NPI Issued
Jan 3, 2022 (4.6309101809251 yrs)
Last Updated
Jan 3, 2022
Sole Proprietor
Yes

Practice Information

Address
331 S MAIN ST
SODA SPRINGS, ID, 832761629
Browse ID providers · Browse ZIP 83276
Phone
2085300326
Primary Specialty
Behavior Technician
106S00000X

Other Behavior Technician Providers in SODA SPRINGS, ID

Name Credential NPI
PATRISH DOREEN BARRICK 1548834716
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.