Individual
CANDACE BOATWRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2576 CATAMARAN WAY, CHULA VISTA, CA 91914-4533
(855) 223-7123
(619) 694-9470
Mailing address
PO BOX 740780, ATLANTA, GA 30374-0780
(855) 223-7123
(619) 374-7134
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-24-70898
CA
103K00000X
Behavior Analyst
1-24-70898
TX
103K00000X
Behavior Analyst
6706
TX
Other
Enumeration date
12/22/2017
Last updated
02/04/2026
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