Individual
LISA BOISVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
1905 18TH ST APT G7, BELLINGHAM, WA 98225-8056
(425) 999-5010
Mailing address
1905 18TH ST APT G7, BELLINGHAM, WA 98225-8056
(425) 999-5010
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
60759334
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
06/24/2013
Last updated
01/08/2021
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