Individual
HANNAH MARIE BOAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 PROVIDENCE MAIN ST NW STE 201, HUNTSVILLE, AL 35806-4828
(256) 489-8660
Mailing address
475 PROVIDENCE MAIN ST NW STE 201, HUNTSVILLE, AL 35806-4828
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
20-147552
AL
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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