Individual
JAIDA LEIGH BOALS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2721 HANNAH BLVD APT 7612, EAST LANSING, MI 48823-6883
(248) 378-7277
Mailing address
7215 WESTSHIRE DR, LANSING, MI 48917-9764
(517) 657-2638
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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