Casey Corullo Boersma, MA, BCBA
NPI #1689204042 in Fort Wayne, Indiana
Provider Information
- NPI Number
- 1689204042
- Entity Type
- Individual
- Name
- Casey Corullo Boersma, MA, BCBA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Behavior Analyst
- Credential
- MA, BCBA
- Enumeration Date
- Jan 24, 2020
- Last Updated
- Jan 24, 2020
Practice Location
- Address
- 12219 GOLDEN HARVEST DR
- City
- Fort Wayne
- State
- Indiana
- ZIP Code
- 46845-9030
- Phone
- (260) 467-0090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Behavior Analyst |
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