Individual
ELIJAH E BOSWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5221 VIKING DR STE 300, BLOOMINGTON, MN 55435-5323
(651) 502-2945
(612) 230-5364
Mailing address
5221 VIKING DR STE 300, BLOOMINGTON, MN 55435-5323
(651) 502-2945
(612) 230-5364
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/13/2025
Last updated
09/13/2025
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