Individual
HANNA BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 CRAIG ST STE 325, INDIANAPOLIS, IN 46250-3541
(317) 207-7086
Mailing address
8383 CRAIG ST STE 325, INDIANAPOLIS, IN 46250-3541
(317) 207-7086
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-57038
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300083871
—
IN
Enumeration date
11/16/2020
Last updated
01/10/2024
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