Individual
DOUGLAS BOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCBA
Contact information
Practice address
1001 FORT CROOK RD N STE 204, BELLEVUE, NE 68005-4226
(402) 934-1084
Mailing address
8300 JEFFERSON ST NE STE B, ALBUQUERQUE, NM 87113-1734
(402) 575-7556
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5082
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-09-5082
BCBA
NE
Enumeration date
03/31/2015
Last updated
11/10/2022
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