Individual
ANELA BOEHM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
(469) 458-9021
Mailing address
911 N GOLIAD ST, ROCKWALL, TX 75087-2230
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-22-60361
TX
106S00000X
Behavior Technician
RBT-20-124166
TX
Other
Enumeration date
12/18/2020
Last updated
01/18/2024
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