Individual
AUTUMN BOSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6490 CASWELL RD, BEAUMONT, TX 77708-2802
(409) 679-9996
Mailing address
6490 CASWELL RD, BEAUMONT, TX 77708-2802
(409) 679-9996
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/30/2025
Last updated
08/30/2025
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