Individual
JESSICA BOSTICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
5815 BAY RD, 600, SAGINAW, MI 48604-2542
(989) 941-3730
(231) 943-1334
Mailing address
5703 BAY RD, SAGINAW, MI 48604-2507
(989) 941-3730
(231) 943-1334
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-48132
MI
106S00000X
Behavior Technician
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Other
Enumeration date
03/20/2017
Last updated
04/19/2021
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