Individual
AMANDA LYNN BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3710 KATALIN CT, BAY CITY, MI 48706-2160
(989) 450-9276
Mailing address
2160 HERITAGE DR, BAY CITY, MI 48706-9461
(989) 450-9276
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/21/2024
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