Individual
HEATHER BOYDSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
900 JUNCTION DR, ALLEN, TX 75013-5290
(469) 675-3153
Mailing address
900 JUNCTION DR, ALLEN, TX 75013-5290
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-21-54816
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-21-54816
BCBAC
TX
Enumeration date
02/11/2019
Last updated
11/10/2021
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