Individual
HEATHER BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87-1720 FARRINGTON HWY APT 4, WAIANAE, HI 96792-3766
(254) 258-2752
Mailing address
7108 S KANNER HWY, STUART, FL 34997-7462
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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