Individual
MATTHEW BOSHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RBT
Contact information
Practice address
1220 ASHLEY CIR, BOWLING GREEN, KY 42104-3338
(859) 479-6005
Mailing address
300 MOSS VIEW ST APT D, BOWLING GREEN, KY 42101-5549
(859) 479-6005
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-21-168935
KY
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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