Justus Boek
Behavior Technician in Modesto, CA. Individual provider (NPI-1).
NPI number1619705886
StatusActive
Last updated in NPPESJul 22, 2024
Details
- NPI
- 1619705886
- Entity type
- Individual (NPI-1)
- Name
- Justus Boek
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 22, 2024
- Certification date
- Jul 22, 2024
- Last updated
- Jul 22, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
| 106E00000X | Assistant Behavior Analyst | – | – |
Practice location
2100 Standiford Ave Ste 12-180Modesto, CA 95350-6522
Phone 855-832-6727
Mailing address
7108 S Kanner HwyStuart, FL 34997-7462
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