Ivelisse Bou

NPI #1114818705 in Lincoln, Rhode Island

Provider Information

NPI Number: 1114818705
Entity Type: Individual
Name: Ivelisse Bou
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 11, 2025
Last Updated: Jul 11, 2025

Practice Location

Address: 24 ALBION RD
Address 2: SUITE 320
City: Lincoln
State: Rhode Island
ZIP Code: 02865-3746
Phone: (855) 295-3276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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