Individual
AMBER BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4323 OLD MILL RD STE B, ANDERSON, SC 29621-1117
(864) 671-1466
Mailing address
181 W PROFESSIONAL PARK CT STE 1, BOWLING GREEN, KY 42104-3250
(270) 777-9283
(270) 777-9283
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
17-38622
SC
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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