Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Shelly Rae Humphreys

Individual provider Behavior Technician · NPI 1467113423

MS. Shelly Rae Humphreys is a Behavior Technician in Soda Springs, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2022
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Practice location Address checks out

331 S Main St
Soda Springs, ID 83276-1629
Phone: (208) 530-0326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X (ID)

Record details

NPI number1467113423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2022
Last updated in NPPESJanuary 3, 2022
Certification dateJanuary 3, 2022

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