Individual
AUDREY TAYLOR BOATMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
8720 MAIN ST, FRISCO, TX 75033-3079
(469) 803-5655
(214) 291-5692
Mailing address
8720 MAIN ST, FRISCO, TX 75033-3079
(469) 803-5655
(214) 291-5692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-29822
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-18-29822
BEHAVIOR ANALYSIS CERTIFICATION BOARD
—
Enumeration date
03/27/2018
Last updated
03/27/2018
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