Individual provider · NPI-1

Anela Boehm

Behavior Analyst · Rockwall, TX

NPI number1528654035
StatusActive
Last updated in NPPESJan 18, 2024

Details

NPI
1528654035
Entity type
Individual (NPI-1)
Name
Anela Boehm
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 18, 2020
Certification date
Jan 18, 2024
Last updated
Jan 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103K00000X Behavior Analyst1-22-60361TXYes
106S00000X Behavior TechnicianRBT-20-124166TX

Other names

  • Anela Kantarevic (Former Name)

Practice location

911 N Goliad St
Rockwall, TX 75087-2230

Phone 469-458-9021

Mailing address

911 N Goliad St
Rockwall, TX 75087-2230

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