Individual
CORTENEE BOULARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBCA
Contact information
Practice address
1020 TRIMMIER RD, KILLEEN, TX 76541-8029
(254) 554-1466
Mailing address
1020 TRIMMIER RD, KILLEEN, TX 76541-8029
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
4086
TX
106S00000X
Behavior Technician
RBT-18-47381
TX
Other
Enumeration date
01/11/2018
Last updated
08/23/2021
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