Individual
SARAH MARY BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Mailing address
1111 ELM ST STE 7, WEST SPRINGFIELD, MA 01089-1540
(413) 734-0300
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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