Individual
MITCHELL BOSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, BCBA, LBA
Contact information
Practice address
2417 PRESIDIO VISTA DR, FORT WORTH, TX 76177-8277
(682) 316-9008
Mailing address
2417 PRESIDIO VISTA DR, FORT WORTH, TX 76177-8277
(682) 316-9008
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
TX
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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