NPI 1043970114

Lonell Woodhouse, IS

Practitioner Behavior Technician Pocatello, ID

Practice location

Address: 106 Mountain Dr, Pocatello, ID 83204-4723
Phone: (562) 731-9705
Mailing address: 16732 Cedarwood Cir, Cerritos, CA 90703-2845

Registered specialties (2)

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

Other Behavior Technician providers in Idaho →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X

Other Behavior Analyst providers in Idaho →

Registry record

NPI: 1043970114
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Dec 2021
Record last updated: 30 Dec 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.