Beverly Boudreau

NPI #1811455678 in Spokane, Washington

Provider Information

NPI Number: 1811455678
Entity Type: Individual
Name: Beverly Boudreau
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Behavior Technician
Enumeration Date: Mar 11, 2019
Last Updated: Mar 11, 2019

Practice Location

Address: 1819 E SPRINGFIELD AVE STE H
City: Spokane
State: Washington
ZIP Code: 99202-2954
Phone: (509) 999-5657

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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