NPI 1003696832

Raven Boatwright

Practitioner Behavior Technician Towson, MD

Practice location

Address: 1220 E Joppa Rd, Towson, MD 21286-5811
Phone: (410) 204-1860

Registered specialties

Behavior Technician Primary

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1003696832
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Sep 2023
Record last updated: 29 Sep 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.