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Daijah Eman Boatner

Behavior Technician in Keller, TX. Individual provider (NPI-1).

NPI number1295463586
StatusActive
Last updated in NPPESAug 12, 2022

Details

NPI
1295463586
Entity type
Individual (NPI-1)
Name
Daijah Eman Boatner
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 12, 2022
Certification date
Aug 12, 2022
Last updated
Aug 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

773 Bandit Trl
Keller, TX 76248-0111

Phone 817-576-6396

Mailing address

9233 Silver Dollar Dr
Fort Worth, TX 76131-1923

Phone 316-670-4077

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