Individual
MR. TIMOTHY ISAAC BOSTICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASE MANAGER PARAPRO
Contact information
Practice address
1505 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2673
(479) 967-3370
(479) 967-2775
Mailing address
1505 S OSWEGO AVE, RUSSELLVILLE, AR 72802-2673
(479) 967-3370
(479) 967-2775
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
03/02/2007
Last updated
12/08/2008
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