Individual
CHRISTINA NICOLE BOSCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2508 EUCLID AVE, AUSTIN, TX 78704-5417
(512) 922-5203
Mailing address
2508 EUCLID AVE, AUSTIN, TX 78704-5417
(512) 922-5203
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-10-7913
TX
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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