Individual provider · NPI-1
Natasha Danielle Bohler
Behavior Technician · Newark, NJ
NPI number1821859992
StatusActive
Last updated in NPPESJan 17, 2024
Details
- NPI
- 1821859992
- Entity type
- Individual (NPI-1)
- Name
- Natasha Danielle Bohler
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2024
- Certification date
- Dec 26, 2023
- Last updated
- Jan 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106S00000X | Behavior Technician | – | – | Yes |
Practice location
739 S 10th St Apt 3hNewark, NJ 07108-3504
Phone 904-580-7106
Mailing address
739 S 10th St Apt 3hNewark, NJ 07108-3504
Phone 904-580-7106
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