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Rebecca Boughner

Behavior Technician in Port Huron, MI. Individual provider (NPI-1).

NPI number1750110284
StatusActive
Last updated in NPPESAug 1, 2024

Details

NPI
1750110284
Entity type
Individual (NPI-1)
Name
Rebecca Boughner
Sex
Female
Sole proprietor
No
Enumeration date
Aug 1, 2024
Certification date
Aug 1, 2024
Last updated
Aug 1, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106S00000X Behavior Technician––Yes

Practice location

1014 Holland Ave
Port Huron, MI 48060-1513

Phone 810-937-5012 · Fax 800-205-9989

Mailing address

1014 Holland Ave
Port Huron, MI 48060-1513

Phone 810-937-5012 · Fax 800-205-9989

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Other Behavior Technician providers in Port Huron, MI

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