Emily Boeschenstein

Individual provider Active NPI Day Training/Habilitation Specialist · Taos, NM

NPI 1356897664 · NPPES record last updated Aug 27, 2016

Key facts

NPI
1356897664
Entity type
Individual (NPI type 1)
Primary specialty
Day Training/Habilitation Specialist 373H00000X
Practice address
750 Gusdorf Rd Apt 507
Taos, NM 87571-6292
Phone
(303) 330-4864
NPI assigned
Aug 27, 2016
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)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X Yes

Addresses

Primary practice location

750 Gusdorf Rd Apt 507
Taos, NM 87571-6292

Mailing address

PO Box 1386
Ranchos de Taos, NM 87557-1386
Phone (303) 330-4864

Other providers in Taos, NM

All providers in Taos, NM · Day Training/Habilitation Specialist in New Mexico

Sources for this page

Verify at the official NPI Registry.