Terri Boitano, ED.S.
Individual provider Active NPI Behavior Analyst · Tucson, AZ
NPI 1477784197 · NPPES record last updated Jul 29, 2009
Key facts
- NPI
- 1477784197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Behavior Analyst 103K00000X
- License
- 4185123 (AZ)
- Practice address
- 1450 W Prince Rd
Tucson, AZ 85705-3014 - Phone
- (520) 696-8837
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4185123 | AZ | MD | Behavioral Analyst |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 4185123 | AZ | Yes |
Addresses
Primary practice location
1450 W Prince Rd
Tucson, AZ 85705-3014
Mailing address
1450 W Prince Rd
Tucson, AZ 85705-3014
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2009. 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.