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

Shane Waldhoff

Individual provider Behavior Technician · NPI 1063399855

Shane Waldhoff is a Behavior Technician in Champaign, Illinois. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2301 W Bradley Ave # 574
Champaign, IL 61821-1849
Phone: (574) 387-4313
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Behavior Technician (primary) Taxonomy 106S00000X

Record details

NPI number1063399855
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 21, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address215 Red Coach Dr, Mishawaka, IN 46545-8307

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