Christina Boucher
Individual provider Active NPI Behavior Technician · Islamorada, FL
NPI 1023547445 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1023547445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Technician 106S00000X
- Practice address
- 129 Royal Lane
Islamorada, FL 33036 - Phone
- (860) 287-9926
- NPI assigned
- Jun 8, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | FL | Yes |
Addresses
Primary practice location
129 Royal Lane
Islamorada, FL 33036
Mailing address
129 Royal LN
Islamorada, FL 33036-3018
Phone (860) 287-9926
Other providers in Islamorada, FL
- Mindy Agler
- Sally E Bauer
- Bermuda Pharmacy #1, PLLC
- Brook Patterson DMD PA
- Daniela Ciriaco Fermin
- Coral Medical Equipment & Supply Inc
- Coral Medical Equipment & Supply, Inc
- Coral Medical Equipment & Supply, Inc
All providers in Islamorada, FL · Behavior Technician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.