Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TERESA BOUSSOM, BCBA
Active Sole ProprietorTERESA BOUSSOM, BCBA is a Behavior Analyst healthcare provider located in COATESVILLE, Pennsylvania. NPI 1174953681 is currently active in the NPPES registry. Verify at CMS.
Behavior Analyst · COATESVILLE, PA
Registration Details
- NPI Number
- 1174953681
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2013 (12.698270638639 yrs)
- Last Updated
- Jan 8, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
179 LUKENS MILL DRCOATESVILLE, PA, 193203968Browse PA providers · Browse ZIP 19320
- Phone
- 2153279591
- Primary Specialty
-
Behavior Analyst
103K00000X
Other Behavior Analyst Providers in COATESVILLE, PA
| Name | Credential | NPI |
|---|---|---|
| MR. CHARLES M. DAVIS | M.A. | 1902045511 |
| KAREN MARIE NEIFER | — | 1477883114 |
| JARRELL BRAZZLE | MA | 1710432133 |
| KADIATOU DIALLO | — | 1285301598 |
| LILY THIBOUTOT | BCBA | 1447142369 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.