Michelle Renae Bouchard, 1-14-16524
Behavior Analyst in San Marcos, CA. Individual provider (NPI-1).
NPI number1306243456
StatusActive
Last updated in NPPESDec 3, 2014
Details
- NPI
- 1306243456
- Entity type
- Individual (NPI-1)
- Name
- Michelle Renae Bouchard
- Credential
- 1-14-16524
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2014
- Last updated
- Dec 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103K00000X | Behavior Analyst | 1-14-16524 | CA | Yes |
Practice location
734 Hatfield DrSan Marcos, CA 92078-5389
Phone 760-271-9998
Mailing address
734 Hatfield DrSan Marcos, CA 92078-5389
Phone 760-271-9998
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