Krista Boucher

NPI #1073005765 in Haverhill, Massachusetts

Provider Information

NPI Number: 1073005765
Entity Type: Individual
Name: Krista Boucher
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: May 30, 2018
Last Updated: May 30, 2018

Practice Location

Address: 62 WINGATE ST APT 3B
City: Haverhill
State: Massachusetts
ZIP Code: 01832
Phone: (207) 877-4616

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X
Behavior Technician	106S00000X	Primary

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