De'asha M Boggan
NPI #1518718352 in Montgomery, Alabama
Provider Information
- NPI Number
- 1518718352
- Entity Type
- Individual
- Name
- De'asha M Boggan
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Technician
- Enumeration Date
- Mar 29, 2024
- Last Updated
- Mar 29, 2024
Practice Location
- Address
- 3476 CROSS CREEK DR
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36116-3655
- Phone
- (334) 233-6195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Technician |
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