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Individual

LISA K BOSTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BCBA

Contact information

Practice address
2016 CEDARHILL DR APT C, NONE, KILLEEN, TX 76543-8997
(254) 598-8778
(151) 223-3264
Mailing address
PO BOX 1027, NONE, BURNET, TX 78611-7027
(254) 598-8778

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary

Other

Enumeration date
06/26/2012
Last updated
12/06/2012
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