IndividualActive
Shane Waldhoff
NPI 1063399855 · Behavior Technician · Champaign, IL
Shane Waldhoff is a Behavior Technician provider in Champaign, IL (NPI 1063399855).
Provider details
- NPI number
- 1063399855
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2301 W Bradley Ave # 574
Champaign, IL 61821-1849
Phone: (574) 387-4313
Street-level locationGet directions
Mailing address
215 Red Coach Dr
Mishawaka, IN 46545-8307
Registry dates
- Enumerated
- 2025-08-21
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Frequently asked questions
- What is Shane Waldhoff's NPI number?
- Shane Waldhoff's National Provider Identifier (NPI) is 1063399855, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shane Waldhoff's specialty?
- Shane Waldhoff is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).
- Where is Shane Waldhoff located?
- Shane Waldhoff's practice location on file with NPPES is 2301 W Bradley Ave # 574, Champaign, IL 61821-1849.
- What is Shane Waldhoff's phone number?
- The practice phone number listed in the NPPES registry for Shane Waldhoff is (574) 387-4313.
- Is Shane Waldhoff's NPI active?
- Yes — Shane Waldhoff's NPI (1063399855) is active in the NPPES registry as of the last update on 2025-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.