Teresa Boussom, BCBA

NPI #1174953681 in Coatesville, Pennsylvania

Provider Information

NPI Number: 1174953681
Entity Type: Individual
Name: Teresa Boussom, BCBA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Analyst
Credential: BCBA
Enumeration Date: Nov 19, 2013
Last Updated: Jan 8, 2020

Practice Location

Address: 179 LUKENS MILL DR
City: Coatesville
State: Pennsylvania
ZIP Code: 19320-3968
Phone: (215) 327-9591

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Analyst	103K00000X	Primary

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