Individual
KRISTIN JO BOUTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2317 W 7TH ST, HASTINGS, NE 68901-3507
(402) 705-1864
Mailing address
2317 W 7TH ST, HASTINGS, NE 68901-3507
(402) 705-1864
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/08/2023
Last updated
06/08/2023
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