Mark David Boswell

Individual provider Active NPI Behavior Technician · Doniphan, MO

NPI 1346913035 · NPPES record last updated Jul 28, 2021

Key facts

NPI: 1346913035
Entity type: Individual (NPI type 1)
Primary specialty: Behavior Technician 106S00000X
Practice address: 209 W Highway St
Doniphan, MO 63935-1004
Phone: (573) 351-2338
NPI assigned: Jul 28, 2021
Sex: Male
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Family Counseling Center, Inc. Primary Care Clinic/Center · Poplar Bluff, MO · NPI 1235738493

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Family Counseling Center, Inc.		Past since Aug 1, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Behavior Technician	106S00000X			Yes

Addresses

Primary practice location

209 W Highway St
Doniphan, MO 63935-1004

Mailing address

209 W Highway St
Doniphan, MO 63935-1004
Phone (573) 351-2338

Other providers in Doniphan, MO

All providers in Doniphan, MO · Behavior Technician in Missouri

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2021. 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.

Verify at the official NPI Registry.