NPI 1457746091 · live from the CMS NPI Registry
Douglas Boe, BCBA
Behavior Analyst in Bellevue, NE. National Provider Identifier 1457746091, active.
NPI record
| NPI | 1457746091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1001 Fort Crook Rd N Ste 204, Bellevue, NE 68005 |
| Practice phone | 402-934-1084 |
| Mailing address | 8300 Jefferson St Ne Ste B, Albuquerque, NM 87113 |
| Enumerated | March 31, 2015 |
| Last updated | November 10, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-09-5082 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.