Mark David Boswell

NPI #1346913035 in Doniphan, Missouri

Provider Information

NPI Number: 1346913035
Entity Type: Individual
Name: Mark David Boswell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 28, 2021
Last Updated: Jul 28, 2021

Practice Location

Address: 209 W HIGHWAY ST
City: Doniphan
State: Missouri
ZIP Code: 63935-1004
Phone: (573) 351-2338

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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