Kennedy Chrystian Boggs

NPI #1619487154 in Defuniak Springs, Florida

Provider Information

NPI Number
1619487154
Entity Type
Individual
Name
Kennedy Chrystian Boggs
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Behavior Technician
Enumeration Date
Oct 11, 2017
Last Updated
Oct 11, 2017

Practice Location

Address
171 STATE HIGHWAY 83 UNIT A-101
State
Florida
ZIP Code
32433-7427
Phone
(850) 585-9189

Specialties & Taxonomy Codes

Specialty
Behavior Technician

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