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NPI Code Detail

MEDICARE: SHELBY SCHMALTZ

MEDICARE: SHELBY SCHMALTZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1245176742
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHELBY SCHMALTZ
Provider Business Mailing Address
First Line : 128 SOO LINE DR
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 128 SOO LINE DR
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3339
Country : US
Telephone Number : 701-322-4400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2026
Last Update Date : 04/28/2026

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Directions to “ SHELBY SCHMALTZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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