Individual
BRANDON BOELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
231 SE BARRINGTON DR, OAK HARBOR, WA 98277-3200
(360) 240-0022
Mailing address
34923 46TH AVE S, ROY, WA 98580-9606
(707) 400-3241
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
WA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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