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Organization
FOSTERING BEHAVIOR
Active
Organization
FOSTERING BEHAVIOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA LOUISE BOEHM BCBA (OWNER)
(904) 716-3065
Entity
Organization
Contact information
Practice address
11953 OLDFIELD POINTE DR, JACKSONVILLE, FL 32223-3512
(904) 716-3065
Mailing address
11953 OLDFIELD POINTE DR, JACKSONVILLE, FL 32223-3512
(904) 716-3065
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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