NPI 1881162428 · live from the CMS NPI Registry
Kristina Marie Boshart
Behavior Analyst in Elizabethtown, KY. National Provider Identifier 1881162428, active.
NPI record
| NPI | 1881162428 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Behavior Analyst 103K00000X |
| Practice location | 1239 Woodland Dr, Elizabethtown, KY 42701 |
| Practice phone | 502-358-5106 |
| Mailing address | 21600 Oxnard St Ste 1800, Woodland Hills, CA 91367 |
| Enumerated | November 12, 2018 |
| Last updated | November 12, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst primary | 103K00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.