Individual
AVA KATHERINE BOUSHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8151 SOUTHPARK LN UNIT 100, LITTLETON, CO 80120-4502
(720) 642-7019
Mailing address
5522 LONE STAR PKWY BUILDING 1 STE 101, SAN ANTONIO, TX 78253-6719
(213) 670-8028
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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