Individual
KYNDELL BOEHMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, BCBA LBA
Contact information
Practice address
1445 E 10TH ST, COOKEVILLE, TN 38501-2017
(615) 962-5271
Mailing address
1445 E 10TH ST, COOKEVILLE, TN 38501-2017
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/02/2020
Last updated
12/21/2021
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