Organization
BOOST BEHAVIORAL SERVICES LLC
Active
Other names
Boost Behavioral Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY FREEZE BCBA (OWNER)
(912) 655-9431
Entity
Organization
Contact information
Practice address
14B MARSHELLEN DR, BEAUFORT, SC 29902-6900
(843) 400-4581
(843) 400-4024
Mailing address
174 JAMES ST, BEAUFORT, SC 29902-5324
(912) 655-9431
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
09/24/2020
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