Individual
JACLYNN BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
4670 RICHMOND RD STE 200, WARRENSVILLE HEIGHTS, OH 44128-6411
(216) 217-4562
Mailing address
4670 RICHMOND RD STE 200, WARRENSVILLE HEIGHTS, OH 44128-6411
(216) 217-4562
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-11-8047
OH
Other
Enumeration date
07/11/2013
Last updated
10/01/2020
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