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

Stanley Keith Wacholz, BSBIS

Individual provider Assistant Behavior Analyst · NPI 1548811904

Stanley Keith Wacholz, BSBIS is an Assistant Behavior Analyst in Hayden Lake, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2019
Specialties on file
2

Practice location Address checks out

5723 E Dodd Rd
Hayden Lake, ID 83835-9376
Phone: (208) 651-8985
Show map & directions

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

Specialties & licences

Assistant Behavior Analyst (primary) Taxonomy 106E00000X (ID)
Assistant Behavior Analyst Taxonomy 106E00000X

Record details

NPI number1548811904
Entity typeIndividual (Type 1)
GenderMale
Credentials BSBIS
Sole proprietorYes
NPI enumeratedSeptember 26, 2019
Last updated in NPPESSeptember 26, 2019