Organization
BELIEVING IN CHANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE R BOUCHARD MS, BCBA (MS, BCBA / OWNER)
(760) 271-9998
Entity
Organization
Contact information
Practice address
110 CIVIC CENTER DR, SUITE 207, VISTA, CA 92084-6037
(760) 271-9998
Mailing address
110 CIVIC CENTER DR, SUITE 207, VISTA, CA 92084-6037
(760) 271-9998
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-14-16524
CA
Other
Enumeration date
10/18/2016
Last updated
01/22/2018
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