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Individual
ANDREA M BOSCHERT
Active
Individual
ANDREA M BOSCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011008957
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-10-3821
CERTIFICATION
MO
01
—
2011008957
LICENSE
MO
Enumeration date
05/12/2011
Last updated
12/06/2011
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