NPI 1003597626

Victoria Michel Boesen, MABCABA

Practitioner Assistant Behavior Analyst Prairieville, LA

Practice location

Address: 17520 Old Jefferson Hwy, Prairieville, LA 70769-3903
Phone: (225) 300-6710
Mailing address: 14507 Essen Terrace Dr, Gonzales, LA 70737-7164

Registered specialties

Assistant Behavior Analyst Primary

Behavioral Health & Social Service Providers Taxonomy 106E00000X Licence 0-23-14540 (LA)

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Registry record

NPI: 1003597626
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2023
Record last updated: 27 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.