Individual
MARGARET BOGOSIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6859 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(800) 356-4049
Mailing address
2607 STERN DR E, JACKSONVILLE, FL 32233-2918
(603) 558-0239
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
—
—
247200000X
Other Technician
B225-561-88-867-0
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000
—
FL
Enumeration date
01/13/2017
Last updated
05/27/2020
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