SHANE WALDHOFF

CHAMPAIGN, IL
NPI1063399855
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Enumeration Date2025-08-21
Last Update Date2025-08-21
Business Address
SHANE WALDHOFF
2301 W BRADLEY AVE # 574
CHAMPAIGN, IL 61821-1849
Phone number: 574-387-4313
Mailing Address
SHANE WALDHOFF
215 RED COACH DR
MISHAWAKA, IN 46545-8307
Phone number: