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Organization
BOOST BEHAVIORAL SERVICES LLC
Active
Organization
BOOST BEHAVIORAL SERVICES LLC
Active
Other names
Boost Behavioral Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY FREEZE BCBA (OWNER)
(912) 655-9431
Entity
Organization
Contact information
Practice address
14B MARSHELLEN DR, BEAUFORT, SC 29902-6900
(843) 400-4581
(843) 400-4024
Mailing address
174 JAMES ST, BEAUFORT, SC 29902-5324
(912) 655-9431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/24/2020
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