IndividualActive
Alicia Shadle
NPI 1245180850 · Behavior Technician · Nampa, ID
Provider details
- NPI number
- 1245180850
- Entity type
- Individual
- Primary specialty
- Behavior TechnicianBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 106S00000X (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
220 W Georgia Ave
Nampa, ID 83686-2835
Phone: (425) 407-5966
Approximate (ZIP-level) locationGet directions
Mailing address
2006 E Linden St
Caldwell, ID 83605-5544
Registry dates
- Enumerated
- 2026-02-02
- Last updated
- 2026-02-02
- Certified
- 2026-02-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.