Individual
KATHERINE ANN BOULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
139 HAZARD AVE. BUILDING 2 SUITE 6, BUILDING 2 SUITE 6, ENFIELD, CT 06082-0608
(860) 218-3614
Mailing address
482 TAYLOR RD, ENFIELD, CT 06082-4047
(860) 899-4699
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
05/29/2019
Last updated
07/11/2021
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