MS. Amy Joy Boulan

NPI #1639619372 in Puyallup, Washington

Provider Information

NPI Number: 1639619372
Entity Type: Individual
Name: MS. Amy Joy Boulan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Feb 28, 2017
Last Updated: Feb 28, 2017

Practice Location

Address: 407 VALLEY AVE NE APT U203
City: Puyallup
State: Washington
ZIP Code: 98372-6940
Phone: (818) 720-0432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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