NPI 1730564790 · live from the CMS NPI Registry
Krista Marie Boe, M.A., BCBA
Behavior Analyst in Traverse City, MI. National Provider Identifier 1730564790, active.
NPI record
| NPI | 1730564790 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 990 Garfield Woods Dr Ste B, Traverse City, MI 49686 |
| Practice phone | 402-218-3741 |
| Mailing address | 511 S 31st St Apt 305, Omaha, NE 68105 |
| Enumerated | July 20, 2015 |
| Last updated | July 21, 2015 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | 1-08-4343 (NE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.