Individual
COURTNEY ROSE BOSWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, BCBA
Contact information
Practice address
495 SEAPORT CT STE 102, REDWOOD CITY, CA 94063-2785
(877) 264-6747
Mailing address
1451 RIVER PARK DR STE 285, SACRAMENTO, CA 95815-4522
(877) 264-6747
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1149751
GA
Other
Enumeration date
01/05/2015
Last updated
02/12/2021
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