Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STANLEY KEITH WACHOLZ, BS BIS
Active Sole ProprietorSTANLEY KEITH WACHOLZ, BS BIS is a Assistant Behavior Analyst healthcare provider located in HAYDEN LAKE, Idaho. NPI 1548811904 is currently active in the NPPES registry. Verify at CMS.
Assistant Behavior Analyst · HAYDEN LAKE, ID
Registration Details
- NPI Number
- 1548811904
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2019 (6.8634480631481 yrs)
- Last Updated
- Sep 26, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
5723 E DODD RDHAYDEN LAKE, ID, 838359376Browse ID providers · Browse ZIP 83835
- Phone
- 2086518985
- Primary Specialty
-
Assistant Behavior Analyst
106E00000X
- Additional Specialty
- Assistant Behavior Analyst
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.