Individual
MRS. DARIENNE ELYSE BOYDEN-SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
(352) 505-6363
Mailing address
250 NW 76TH DR, GAINESVILLE, FL 32607-6668
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-18-32961
FL
Other
Enumeration date
05/26/2017
Last updated
08/11/2022
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