Individual
MRS. CHRISTEN DAWN BOUTWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., BCBA
Contact information
Practice address
25482 SERAPHIM CT, LOXLEY, AL 36551-7522
(251) 377-2533
(251) 960-1154
Mailing address
25482 SERAPHIM CT, LOXLEY, AL 36551-7522
(251) 377-2533
(251) 960-1154
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-09-5061
AL
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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