Individual
CATHERINE BOATMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., B.C.B.A,
Contact information
Practice address
8720 MAIN ST, FRISCO, TX 75033-3079
(698) 035-6554
Mailing address
8720 MAIN ST, FRISCO, TX 75033-3079
(469) 803-5655
(214) 291-5692
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-12-12040
TX
103K00000X
Behavior Analyst
Primary
1061
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-12-12040
BACB LICENSE
TX
Enumeration date
11/06/2012
Last updated
10/23/2024
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