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Individual

ANDREA M BOSCHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-4951
(636) 978-7885
Mailing address
105 SHERIFF DIERKER CT, O FALLON, MO 63366-2468
(636) 978-7885
(636) 978-7885

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
2011008957
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0-10-3821
CERTIFICATION
MO
01
2011008957
LICENSE
MO
Enumeration date
05/12/2011
Last updated
12/06/2011
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