Individual
CHLOE SOYOUNG BOUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1470 INDUSTRIAL DR NW, ROCHESTER, MN 55901-0700
(507) 353-3023
Mailing address
10180 VIKING DR, EDEN PRAIRIE, MN 55344-7207
(612) 712-4307
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
03/09/2026
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