Elizabeth Boldt
Behavior Technician in Alpena, MI. Individual provider (NPI-1).
NPI number1336864321
StatusActive
Last updated in NPPESOct 11, 2022
Details
- NPI
- 1336864321
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Boldt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2022
- Certification date
- Oct 11, 2022
- Last updated
- Oct 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
314 E Chisholm StAlpena, MI 49707-2876
Phone 989-278-8878
Mailing address
Po Box 663Lakeland, MI 48143-0663
Phone 810-599-2129
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All 87 Behavior Technician providers in Alpena · All 945 providers in Alpena
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