Benjamin Nathaniel Boucher
NPI #1194447813 in West Plains, Missouri
Provider Information
- NPI Number
- 1194447813
- Entity Type
- Individual
- Name
- Benjamin Nathaniel Boucher
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Sep 19, 2022
- Last Updated
- Sep 19, 2022
Practice Location
- Address
- 3411 DIVISION DR
- City
- West Plains
- State
- Missouri
- ZIP Code
- 65775-5789
- Phone
- (417) 257-9152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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